Active NPI
Donald P. Groetzinger, O.D.
- Optometrist
- Jenkintown, PA
National Provider Identifier
1497846729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET008981
- Practice address
- 93 York Rd
Jenkintown, PA 19046-3925 - Phone
- (215) 576-8156
- Fax
- (215) 576-8441
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OET008981 | PA | Primary |
Addresses
Primary practice location
93 York Rd
Jenkintown, PA 19046-3925
Mailing address
36 Bark Hollow LN
Horsham, PA 19044-1968
Phone (215) 441-4095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OET008981 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497846729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BARK HOLLOW LN",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190441968",
"telephone_number": "215-441-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 YORK RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463925",
"telephone_number": "215-576-8156",
"fax_number": "215-576-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROETZINGER",
"first_name": "DONALD",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OET008981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.