Gregory D O'Bryan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002017826 Issued in MO

Practice address

3120 Karnes Rd
Suite a
Saint Joseph, MO 64506-1319

Phone

(816) 364-5800

Fax

(816) 364-5806

NPI assigned

Dec 26, 2006

Last updated

Oct 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• O'Bryan Eyecare, P.C.

  • Optometrist
  • Saint Joseph, MO
  • NPI 1922334382
  Medicare reassignment NPD Authorized official
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Independence, MO
  • NPI 1649203308
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1609931260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 KARNES RD",
            "address_2": "SUITE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061319",
            "telephone_number": "816-364-5800",
            "fax_number": "816-364-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 KARNES RD",
            "address_2": "SUITE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061319",
            "telephone_number": "816-364-5800",
            "fax_number": "816-364-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002017826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Novinger, R.N.
• Matthew Robert Noyce, DDS, MS
• Brandon James Nunes, PHARM.D.
• Julian Jesus Nunez, MD
• O'Bryan Eyecare, P.C.
• Kallie O'Dell
• Nicole O'Hare
• Satinderjit S Oberoi, M.D.
• Will Obert
• Occupational Health Centers of Kansas PA (Concentra Medical Centers)

• Optometrist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.

Verify at the official NPI Registry.