Individual provider Active NPI

Gregory Michael Empey, O.D.

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1598802282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11630T Issued in CA
Practice address
220 Sylvania Ave
Optometry Department
Santa Cruz, CA 95060-2161
Phone
(831) 460-1480
Fax
(831) 460-1479
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11630T CA Primary

Addresses

Primary practice location

220 Sylvania Ave
Optometry Department
Santa Cruz, CA 95060-2161

Mailing address

220 Sylvania Ave
Optometry Department
Santa Cruz, CA 95060-2161
Phone (831) 460-1480

Other identifiers 1

IdentifierTypeStateIssuer
11630TOtherCAOPTOMETRY LICENSE

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

LicenseStateTypeSpecialty
11630CAMDOrthopedic Chiropractor
11630TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598802282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SYLVANIA AVE",
            "address_2": "OPTOMETRY DEPARTMENT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602161",
            "telephone_number": "831-460-1480",
            "fax_number": "831-460-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SYLVANIA AVE",
            "address_2": "OPTOMETRY DEPARTMENT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602161",
            "telephone_number": "831-460-1480",
            "fax_number": "831-460-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMPEY",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11630T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "11630T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

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.

Verify at the official NPI Registry.