Active NPI
Amanda Alhout Gredzik, O.D.
- Optometrist
- Rahway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00695900
- Practice address
- 1530 Saint Georges Ave
Rahway, NJ 07065-2750 - Phone
- (732) 382-9000
- NPI assigned
- Jul 6, 2020
- Last updated
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00695900 | NJ | Primary |
Addresses
Primary practice location
1530 Saint Georges Ave
Rahway, NJ 07065-2750
Mailing address
174 Sand Rd
Fairfield, NJ 07004-1574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Saint Georges Anenue
Rahway, NJ 07065-2750
1530 Saint Georges Ave
Rahway, NJ 07065-2750
Phone (732) 382-9000
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.64 of 100
- Quality
- 84.8
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refocus Eye Health of NJ, P.C. | Optometrist | Current | Accepting new patients |
| Long Valley Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Refocus Eye Health of Central Connecticut, P.C. | Optometrist | Current | Accepting new patients |
| Universal Eye Care | Optometrist | Current | Accepting new patients |
| Your Eyes and You LLC | Optometrist | Current | Accepting new patients |
| Associated Eye Physicians & Surgeons of N.J., P.a. | Multi-Specialty | Current | Accepting new patients |
| Refocus Eye Health of NJ, P.C. | Current | Accepting new patients |
Locations
50 Newark Ave
Ste 107
Belleville, NJ 07109
Phone (973) 751-3284
3 Cooper Plz
Rm 510
Camden, NJ 08103
Phone (215) 288-5000
724 Jersey Ave
Jersey City, NJ 07310
Phone (201) 795-0808
62 E Mill Rd
Ste C4
Long Valley, NJ 07853
Phone (908) 876-9955
100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400
1326 Bound Brook Rd
Middlesex, NJ 08846
Phone (732) 356-0300
1530 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 382-7473
1050 Galloping Hill Rd
Ste 104
Union, NJ 07083
Phone (908) 964-7878
300 Fairview Ave
Westwood, NJ 07675
Phone (201) 666-2150
Interoperability endpoints
- agredzik@refocus.intellechartdirect.net
- zekia.alhout.1@22072.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Union, NJ
- NPI 1912094079
Multi-Specialty
-
- Optometrist
- Middlesex, NJ
- NPI 1679180855
-
- Optometrist
- Long Valley, NJ
- NPI 1265632251
-
- Eyewear Supplier
- Oakland, NJ
- NPI 1912867052
-
- Optometrist
- Long Valley, NJ
- NPI 1629922711
-
- Ophthalmology Physician
- Waterbury, CT
- NPI 1548874936
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1699393777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 SAND RD",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 SAINT GEORGES AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652750",
"telephone_number": "732-382-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREDZIK",
"first_name": "AMANDA",
"middle_name": "ALHOUT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00695900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.