Active NPI
Gregory Faldowski O D
- Optometrist
- Truckee, CA
National Provider Identifier
1780241695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory J Faldowski, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.