Individual provider Active NPI

Gretta G Brown, OD

  • Optometrist
  • Hollidaysburg, PA
National Provider Identifier
1700366325
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003461 Issued in PA
Practice address
805 S Logan Blvd
Hollidaysburg, PA 16648-3030
Phone
(814) 942-7184
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003461 PA Primary

Addresses

Primary practice location

805 S Logan Blvd
Hollidaysburg, PA 16648-3030

Mailing address

805 S Logan Blvd
Hollidaysburg, PA 16648-3030
Phone (814) 942-7184

Other practice location 1

410 Theatre Dr
Johnstown, PA 15904-2817
Phone (814) 269-3660

Other identifiers 1

IdentifierTypeStateIssuer
1035919020001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Johnstown

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181102000162 PA Practitioner - Optometry 7810240140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Family Eyecare, LTD.Group PAC ID 7517905417, 3 clinicians

Practice addresses (Care Compare)

410 Theatre Dr
Johnstown, PA 15904-2817
Phone (814) 269-3660

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Barnes Optometry, P.C CurrentSince May 1, 2026 Accepting new patients
Associates in Family Eyecare, LTD. Optometrist CurrentSince Sep 11, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

805 S Logan Blvd
Hollidaysburg, PA 16648
Phone (814) 942-7184

410 Theatre Dr
Johnstown, PA 15904
Phone (814) 269-3600

Organizations & group practices 3

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1700366325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S LOGAN BLVD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483030",
            "telephone_number": "814-942-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S LOGAN BLVD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483030",
            "telephone_number": "814-942-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Theatre Dr",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159042817",
            "country_code": "US",
            "telephone_number": "814-269-3660",
            "fax_number": "814-269-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GRETTA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035919020001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Johnstown",
            "affiliation": "N",
            "endpointDescription": "office",
            "address_1": "410 Theatre Dr",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159042817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

Verify at the official NPI Registry.