Organization Active NPI

Greg Pientka, O.D., P.a.

Doing business as Palm Beach Eyes of Boynton Beach

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1508178450
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3038 Issued in FL
Legal business name
GREG PIENTKA, O.D., P.A.
Doing business as
Palm Beach Eyes of Boynton Beach
Practice address
640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637
Phone
(561) 732-8088
Fax
(561) 732-8112
NPI assigned
Jul 8, 2010
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Dr. Greg Pientka, O.D.NPI 1699723452
Title
Corporate President
Phone
(561) 732-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3038 FL Primary

Addresses

Primary practice location

640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637

Mailing address

640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637
Phone (561) 732-8088

Other identifiers 1

IdentifierTypeStateIssuer
620319100MedicaidFL

Other names 1

  • Palm Beach Eyes of Boynton Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728001117 FL Part B Supplier - Clinic/Group Practice 5092848960 Receives reassigned benefits from 2 practitioners
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

640 W Boynton Beach Blvd
Boynton Beach, FL 33426
Phone (561) 732-8008

Interoperability endpoints

  • Direct secure messaging: gpientka@pbeyesofbb.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1508178450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263637",
            "telephone_number": "561-732-8088",
            "fax_number": "561-732-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263637",
            "telephone_number": "561-732-8088",
            "fax_number": "561-732-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG PIENTKA, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PIENTKA",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "561-732-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620319100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Eyes of Boynton Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.