Gregg Allen Bannett, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MB04846500 Issued in NJ

Practice address

620 N Broad St
Woodbury, NJ 08096-1795

Phone

(856) 853-5554

Fax

(856) 853-5650

NPI assigned

Aug 5, 2006

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Rowan University School of Osteopathic Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bannett Eye Centers PAGroup PAC ID 7517913916, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.49 of 100Reported as group

Quality

98.73

Improvement activities

40

Cost

73.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregg.bannett@bannetteyecenters.direct.eyemdemr.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Bannett Eye Centers, PA

  • Ophthalmology Physician
  • Woodbury, NJ
  • NPI 1437208287
  Medicare reassignment Care Compare group NPD Authorized official
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  Medicare reassignment NPD
• Bannett Eye Centers PA

  • Eyewear Supplier
  • Woodbury, NJ
  • NPI 1821007261

  Specialist

  NPD (past)
• Cataract and Primary Eye Care Service, LP

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1417991720
  NPD (past)
• Neuropathy Pain Clinic of Fort Worth LLC

  dba DFW Neuropathy

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1447561691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1720097157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961795",
            "telephone_number": "856-853-5554",
            "fax_number": "856-853-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961795",
            "telephone_number": "856-853-5554",
            "fax_number": "856-853-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNETT",
        "first_name": "GREGG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB04846500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB04846500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bacon, APN-C
• Jennie Baile, LCSW
• Samantha Baney, MA, LAC
• Bannett Eye Centers PA
• Bannett Eye Centers, PA
• Harrison Phillip Bannett, DO
• Julia Bardales, LMFT, MT-BC
• Jessica Barner
• Jordan Biet Barnett, MD FACEP FAAEM FACHE
• Barbara A. Basile, APN, PMHNP-BC

• Ophthalmology Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.

Verify at the official NPI Registry.