Individual provider Active NPI

Gregory Edwin Dziubek, O.D.

  • Optometrist
  • Gibsonia, PA
National Provider Identifier
1700812849
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000458 Issued in PA
Practice address
706 Bristlecone Dr
Gibsonia, PA 15044-6135
Phone
(412) 337-2155
Fax
(724) 933-4608
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000458 PA Primary

Addresses

Primary practice location

706 Bristlecone Dr
Gibsonia, PA 15044-6135

Mailing address

PO Box 101475
Pittsburgh, PA 15237-8475
Phone (412) 337-2155

Other identifiers 1

IdentifierTypeStateIssuer
001569187 0005MedicaidPA

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
I20071210000280 PA Practitioner - Optometry 9931298296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcoe Family Eyecare PCGroup PAC ID 9537205299, 2 clinicians
Lehigh Valley Eye Center, P.C.Group PAC ID 3072593508, 51 clinicians

Practice addresses (Care Compare)

10 Kimberly LN
Cranberry, PA 16319-3134
Phone (814) 676-6081

9970 Mountain View Dr
Suite 200
West Mifflin, PA 15122-2476
Phone (412) 653-3080

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
86.54
Promoting interoperability
94
Improvement activities
40
Cost
60.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000458PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcoe Family Eyecare PC Optometrist CurrentSince Oct 25, 2018 Accepting new patients
Lehigh Valley Eye Center, P.C. Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Associates in Ophthalmology LTD CurrentSince Oct 1, 2007 Accepting new patients
Apple Blossom Optics Optometrist Past Accepting new patients

Locations

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

400 N 17th St
Ste 101
Allentown, PA 18104
Phone (215) 433-0450

112 Hollywood Dr
Ste 102
Butler, PA 16001
Phone (724) 282-9547

112 Hollywood Dr
Butler, PA 16001

10 Kimberly Ln
Cranberry, PA 16319
Phone (814) 676-1813

25 N Thompson Ln
Ste D
Irwin, PA 15642
Phone (724) 837-5814

200 Medical Arts Bldg
Kittanning, PA 16201
Phone (724) 543-1359

200 Medical Arts Bldg
Ste 210
Kittanning, PA 16201
Phone (724) 543-2146

390 Linden St
Meadville, PA 16335
Phone (412) 466-8011

2790 Mosside Blvd
Ste 200
Monroeville, PA 15146
Phone (412) 372-0600

110 Daniel Dr
Ste 5
Uniontown, PA 15401
Phone (724) 439-4250

9970 Mountain View Dr
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 653-3080

9970 Mountain View Dr
Ste 200
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 466-8011

Interoperability endpoints

  • Direct secure messaging: gregory.dziubek.p10@direct.ocli.nextgenshare.com
  • Direct secure messaging: gregory.dziubek.p1@direct.aiovision.nextgenshare.com

Organizations & group practices 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1700812849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101475",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152378475",
            "telephone_number": "412-337-2155",
            "fax_number": "724-933-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BRISTLECONE DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446135",
            "telephone_number": "412-337-2155",
            "fax_number": "724-933-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIUBEK",
        "first_name": "GREGORY",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001569187 0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.