Individual provider Active NPI

Gregory James Stucke, O.D.

  • Optometrist
  • Mason, OH
National Provider Identifier
1689982704
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5980 Issued in OH
Practice address
218 Reading Rd
Mason, OH 45040
Phone
(513) 398-3886
Fax
(513) 398-9836
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5980 OH Primary

Addresses

Primary practice location

218 Reading Rd
Mason, OH 45040

Mailing address

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120319000765 OH Practitioner - Optometry 4082874607 Reassigns benefits to 5 organizations
Receives reassigned benefits from 2 practitioners
Practice locations: Mason, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
West Milton Vision Center LLCGroup PAC ID 8527467026, 3 clinicians
Mason Vision Center LLCGroup PAC ID 8729367404, 6 clinicians
Springboro Vision, LLCGroup PAC ID 6507120169, 6 clinicians
Lebanon Vision Center LLCGroup PAC ID 8426434390, 4 clinicians

Practice addresses (Care Compare)

1105 S Main St
West Milton, OH 45383-1343

1105 S Miami St
West Milton, OH 45383-1218
Phone (937) 698-5171

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

245 N Main St
Suite 300
Springboro, OH 45066-9171
Phone (937) 748-2955

777 Columbus Ave
Lebanon, OH 45036-1682

777 Columbus Ave
Lebanon, OH 45036-1684
Phone (513) 932-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5980OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Milton Vision Center, LLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Mason Vision Center, LLC Optometrist CurrentSince Aug 22, 2016 Accepting new patients
Lebanon Vision Center, LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Springboro Vision, LLC Optometrist CurrentSince Apr 1, 2018 Accepting new patients
Blue Ash Vision Center, LLC Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Debora L. Wright,O.D. Inc. Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Gregory J Stucke Optometrist PastSince Nov 1, 2012 Accepting new patients
West Milton Vision Center, LLC Optometrist Past Accepting new patients
Kara S Hampton Optometrist Past Accepting new patients

Locations

4854 Hunt Rd
Blue Ash, OH 45242
Phone (513) 891-6800

777 Columbus Ave
Lebanon, OH 45036
Phone (513) 932-3343

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3886

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

1105 S Miami St
West Milton, OH 45383
Phone (937) 698-5171

Practitioners & affiliated clinicians

Practitioners 2

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

Organizations & group practices 9

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1689982704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-398-3886",
            "fax_number": "513-398-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-398-3886",
            "fax_number": "513-398-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKE",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.