Gregory Paul Jellenek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000342 Issued in VA

Practice address

BLDG. 1527
Ft. Eustis, VA 23604-1618

Phone

(757) 887-3627

Fax

(757) 887-0403

NPI assigned

Jul 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Southern California College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gregory P. Jellenek, OD & Associates, PC

  • Optometrist
  • Newport News, VA
  • NPI 1144259250
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1679505226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251-18 JOHN TYLER HWY.",
            "address_2": "#353",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858808",
            "telephone_number": "757-963-1863",
            "fax_number": "757-963-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG. 1527",
            "city": "FT. EUSTIS",
            "state": "VA",
            "postal_code": "236041618",
            "telephone_number": "757-887-3627",
            "fax_number": "757-887-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLENEK",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010045711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Ann Jackson, PMHNP-BC
• Chris James, MD
• John Forrest James, MD
• Johnathan Dwight James, PA-C
• Jennah Janney, DPT
• Daniel Frank Johnson
• Joseph Allen Johnson, D.M.D.
• Sadie Heather Johnson, PTA
• Brian M Jones, PHARM.D.
• Nicholas Andrew Jones, PA-C

• Optometrist in Ft. Eustis, VA
• Providers in Ft. Eustis, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.