Individual provider Active NPI

Greg Pientka, O.D.

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1699723452
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC-3038 Issued in FL
Practice address
640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637
Phone
(561) 732-8088
Fax
(561) 732-8112
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC-3038 FL Primary

Addresses

Primary practice location

640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637

Mailing address

640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637
Phone (561) 732-8088

Other identifiers 2

IdentifierTypeStateIssuer
620319100MedicaidFL
E0504OtherFLMEDICARE ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100728001192 FL Practitioner - Optometry 1850424730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greg Pientka, O.D., P.a.Group PAC ID 5092848960, 2 clinicians

Practice addresses (Care Compare)

640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC-3038FLMDOptometrist
3038FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Pientka, O.D., P.a. Optometrist CurrentSince Oct 4, 2009 Accepting new patients

Locations

640 W Boynton Beach Blvd
Boynton Beach, FL 33426
Phone (561) 732-8008

Interoperability endpoints

  • Direct secure messaging: gpientka@pbeyesofbb.eyefinity-direct.com

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1699723452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263637",
            "telephone_number": "561-732-8088",
            "fax_number": "561-732-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263637",
            "telephone_number": "561-732-8088",
            "fax_number": "561-732-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENTKA",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-3038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620319100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "E0504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.