Individual provider Active NPI

Gregory L Bittner, OD

  • Optometrist
  • Somerset, PA
National Provider Identifier
1477539104
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000649 Issued in PA
Practice address
268 W Union St
Somerset, PA 15501-1539
Phone
(814) 445-6664
Fax
(814) 443-1108
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000649 PA Primary

Addresses

Primary practice location

268 W Union St
Somerset, PA 15501-1539

Mailing address

268 W Union St
Somerset, PA 15501-1539
Phone (814) 445-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001283 PA Practitioner - Optometry 2860470986 Reassigns benefits to 1 organization
Practice locations: Somerset, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

268 W Union St
Somerset, PA 15501-1539
Phone (814) 445-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000649PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Bittner OD LLC Optometrist CurrentSince Jan 20, 2016 Accepting new patients
Arlow Ophthalmology LLC Past Accepting new patients

Locations

268 W Union St
Somerset, PA 15501
Phone (814) 445-6664

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1477539104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 W UNION ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011539",
            "telephone_number": "814-445-6664",
            "fax_number": "814-443-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 W UNION ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011539",
            "telephone_number": "814-445-6664",
            "fax_number": "814-443-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "GREGORY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.