Organization Active NPI

Gregory Faldowski O D

  • Optometrist
  • Truckee, CA
National Provider Identifier
1780241695
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GREGORY FALDOWSKI O D
Practice address
10775 Pioneer TRL Ste 104
Truckee, CA 96161-0233
Phone
(530) 721-2872
NPI assigned
May 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Gregory J Faldowski, O.D.NPI 1225324023
Title
President
Phone
(775) 375-8869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10775 Pioneer TRL Ste 104
Truckee, CA 96161-0233

Mailing address

3352 Charlotte Ave
Rosemead, CA 91770-2508

Other names 1

  • Vision Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324000853 CA Part B Supplier - Clinic/Group Practice 0042441792 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Truckee, CA

National Provider Directory

National Provider Directory

Locations

10775 Pioneer Trl
Ste 104
Truckee, CA 96161
Phone (530) 562-9561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1780241695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 CHARLOTTE AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10775 PIONEER TRL STE 104",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610233",
            "telephone_number": "530-721-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY FALDOWSKI O D",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-26",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "FALDOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-375-8869",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.