Individual provider Active NPI

Amanda Alhout Gredzik, O.D.

  • Optometrist
  • Rahway, NJ
National Provider Identifier
1699393777
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00695900 Issued in NJ
Practice address
1530 Saint Georges Ave
Rahway, NJ 07065-2750
Phone
(732) 382-9000
NPI assigned
Jul 6, 2020
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910002597 NJ Practitioner - Optometry 4183042906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Physicians and Surgeons of NJ PAGroup PAC ID 5294624953, 9 clinicians
Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

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 100Reported as group
Quality
84.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of NJ, P.C. Optometrist CurrentSince Jul 11, 2025 Accepting new patients
Long Valley Eye Care, LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Optometrist Current Accepting new patients
Universal Eye Care Optometrist CurrentSince Apr 20, 2026 Accepting new patients
Your Eyes and You LLC Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Associated Eye Physicians & Surgeons of N.J., P.a. Multi-Specialty CurrentSince Aug 13, 2020 Accepting new patients
Refocus Eye Health of NJ, P.C. CurrentSince Jul 11, 2025 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

  • Direct secure messaging: agredzik@refocus.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.