Justin P Greczek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001812 Issued in PA

Practice address

841 E. Baltimore Pike
Chester County Opticians
Kennett Square, PA 19348

Phone

(610) 444-5252

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Alpha Eye Wyomissing, LLC

  • Optometrist
  • Wyomissing, PA
  • NPI 1497279095
  Medicare reassignment

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1790852291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S WALNUT ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823141",
            "telephone_number": "267-408-0895",
            "fax_number": "610-363-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E. BALTIMORE PIKE",
            "address_2": "CHESTER COUNTY OPTICIANS",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "19348",
            "telephone_number": "610-444-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECZEK",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ushma Tarak Goradia, PT
• Allison Nicole Gorelick, MA CCC-SLP
• Brianna Gossert, MS, CAADC
• Valerie Ann Grant, LCSW, MSW,MA,RSW
• Joseph A Greco, MD
• Sarah Nicole Gregory, COTA/L
• Anne Marie Gress, P.T.
• David S Guggenheim, DPM
• Louann Marie Guinette, RRT
• Anne Marie Hamilton, PT

• Optometrist in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.