Individual provider Active NPI

Goldie Lisa Greller, O.D.

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1689785933
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00559400 Issued in NJ
Practice address
495 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-3069
Phone
(732) 577-5558
Fax
(732) 577-5559
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00559400 NJ Primary

Addresses

Primary practice location

495 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-3069

Mailing address

495 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-3069
Phone (732) 577-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abady, Steiner and Ravine Eye Care O D P C Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Ravine Eye Center Inc Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Dietrich Opticians, PA Past Accepting new patients
Monmouth County Primary Eye Care LLC Optometrist PastSince Jun 16, 2024 Accepting new patients
Ronald Minzter, MD PC PastSince Jan 3, 2006 Accepting new patients
Strategic Rehabilitation Services, P.C. Past Accepting new patients

Locations

780 W Park Ave
Oakhurst, NJ 07755
Phone (732) 517-1090

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1689785933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283069",
            "telephone_number": "732-577-5558",
            "fax_number": "732-577-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283069",
            "telephone_number": "732-577-5558",
            "fax_number": "732-577-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLER",
        "first_name": "GOLDIE",
        "middle_name": "LISA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00559400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.