Active NPI
Gretchen E Ohlig, OD
- Optometrist
- Greenvale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2381
- Practice address
- 190 Wheatley PLZ
Greenvale, NY 11548-1316 - Phone
- (516) 686-6512
- Fax
- (516) 277-1591
- NPI assigned
- Apr 10, 2008
- Last updated
- Dec 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2381 | CT | Primary |
| Optometrist | 152W00000X | T005447 | NY |
Addresses
Primary practice location
190 Wheatley PLZ
Greenvale, NY 11548-1316
Mailing address
101A Norton Dr
East Northport, NY 11731-1603
Phone (203) 321-9597
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400183486 | Other | CT | MEDICARE NGS |
| 008053302 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1092 Route 112
Port Jefferson Station, NY 11776-3043
Phone (631) 474-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T005447 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optyx LLC | Optometrist | Current | Accepting new patients |
| Optyx LLC | Optometrist | Current | Accepting new patients |
Locations
312 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 336-5661
1806 Deer Park Ave
Deer Park, NY 11729
Phone (631) 667-4166
190 Wheatley Plz
Greenvale, NY 11548
Phone (516) 686-6512
10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499
2384 Broadway
New York, NY 10024
Phone (212) 724-0850
1092 Route 112
Port Jefferson Station, NY 11776
Phone (631) 474-3937
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Norwalk, CT
- NPI 1043664006
-
- Optometrist
- Greenvale, NY
- NPI 1548416837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1568635506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101A NORTON DR",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311603",
"telephone_number": "203-321-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 WHEATLEY PLZ",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481316",
"telephone_number": "516-686-6512",
"fax_number": "516-277-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHLIG",
"first_name": "GRETCHEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2023-12-27",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2381",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005447",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NGS",
"identifier": "D400183486",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008053302",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.