Greloch Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GRELOCH EYECARE, LLC

Practice address

893 Main St Ste 201
East Hartford, CT 06108-2293

Phone

(860) 528-5816

Fax

(860) 290-5356

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Laura Ellis

Title

Billing

Phone

(860) 920-8151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Marie Dixon, OD

  • Optometrist
  • East Hartford, CT
  • NPI 1114704236
  Medicare reassignment Care Compare group NPD
• Jennifer Greloch, OD

  • Optometrist
  • East Hartford, CT
  • NPI 1598288409
  Medicare reassignment Care Compare group NPD
• Steven Rafalowsky, O.D.

  • Optometrist
  • Marlborough, CT
  • NPI 1134230618
  Medicare reassignment Care Compare group NPD
• Carissa Lee Novotny, O.D.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1013145143

  CT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1649879164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 201",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-528-5816",
            "fax_number": "860-290-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 201",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-528-5816",
            "fax_number": "860-290-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRELOCH EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "860-920-8151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Grant
• Sarah Grasso, CRNA
• Courtney Ann Green, RDH
• Kristian Marie Greene
• Greensprings Healthcare and Rehabilitation Center LLC
• Jennifer Greloch, OD
• Robert Michael Grillo, D.M.D.
• Edward P Grimes, M.D.
• Sabrina Griswold, PHARM.D.
• Cindy Grosso, RDH

• Optometrist in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.