Gregory M New, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4703 Issued in MA

Practice address

4500 16TH St Ste 100
Moline, IL 61265-7068

Phone

(309) 764-0444

Fax

(978) 670-7778

NPI assigned

Aug 28, 2008

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IL

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

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.

• Independent Eye Care, LLC

  • Optometrist
  • Plainfield, IL
  • NPI 1922795814
  NPD Authorized official
• Quad Cities Eye Care, LLC

  • Optometrist
  • Moline, IL
  • NPI 1679225270
  NPD Authorized official
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1649428970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 ERIE BLVD E",
            "address_2": "MASS OPTOMETRIC ASSOCIATES, P.C.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241430",
            "telephone_number": "315-446-3145",
            "fax_number": "315-445-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 16TH ST STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657068",
            "telephone_number": "309-764-0444",
            "fax_number": "978-670-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEW",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haile Neptune, MD
• Neurology Group P.C.
• Neurosurgery Consultants SC
• Gloria Esther Nevarez, M.A., CF-SLP
• New Perspectives
• Kailyn Parker Newell, MHP
• Jacqueline Nicole Newhouse, D.C.
• Dieuthien Nguyen
• Sandra Eileen Nichols, MSW
• Brent C Nielsen, O.D.

• Optometrist in Moline, IL
• Providers in Moline, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.