Outreach Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OUTREACH EYECARE LLC

Practice address

1020 Carrington PL FL 2
Charlottesville, VA 22901-1891

Phone

(813) 534-8203

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bogdan Grynyk, ODNPI 1720574759

Title

Optometrist

Phone

(315) 383-8617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Bogdan Grynyk

  • Optometrist
  • Carrollwood, FL
  • NPI 1720574759

  VA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1659054070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CARRINGTON PL FL 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CARRINGTON PL FL 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011891",
            "telephone_number": "813-534-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "GRYNYK",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "315-383-8617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ott, MED CCC-SLP
• Jakob E Ottenhoff, DO
• Conwell Ottenritter, M.D.
• Our Lady of Peace Inc
• Laura Rankin Outland, PT
• Christopher Eric Overman, AP, IHP
• Leland D Oviatt, DDS
• Jamie Ann Owed, RPH
• Johnny Marion Owen III
• Sarah Marie Owen, FNP-BC

• Optometrist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.