Active NPI
Jolene Gayle Gregg, O.D.
- Optometrist
- Port Charlotte, FL
National Provider Identifier
1538218201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2357
- Practice address
- 17700 Murdock Cir
Port Charlotte, FL 33948-1054 - Phone
- (941) 374-9974
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- 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 | OPC2357 | FL | Primary |
Addresses
Primary practice location
17700 Murdock Cir
Port Charlotte, FL 33948-1054
Mailing address
1219 50TH Street CT E
Bradenton, FL 34208-5878
Phone (941) 374-9974
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1538218201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 50TH STREET CT E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342085878",
"telephone_number": "941-374-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17700 MURDOCK CIR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481054",
"telephone_number": "941-374-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "JOLENE",
"middle_name": "GAYLE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.