Individual provider Active NPI

Darryl Marsden Greenwood, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1851477103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE006579T Issued in PA
Practice address
1901 Ridgewood Ave
Wyomissing, PA 19610-1231
Phone
(610) 373-2300
Fax
(610) 373-7014
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE006579T PA Primary

Addresses

Primary practice location

1901 Ridgewood Ave
Wyomissing, PA 19610-1231

Mailing address

1901 Ridgewood Ave
Wyomissing, PA 19610-1231
Phone (610) 373-2300

Other identifiers 2

IdentifierTypeStateIssuer
396393OtherPANVA/CBC PROVIDER CODE
GR552240OtherPAPBS PROVIDER CODE

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
I20120215000259 PA Practitioner - Optometry 5294935805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George Linsey O.D. P.C.Group PAC ID 8325003189, 3 clinicians

Practice addresses (Care Compare)

1901 Ridgewood Rd
Wyomissing, PA 19610-1231
Phone (610) 373-2300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George Linsey O.D. P.C. Optometrist CurrentSince Dec 19, 2011 Accepting new patients

Locations

17633 Gunn Hwy
Odessa, FL 33556
Phone (813) 926-5700

1901 Ridgewood Rd
Wyomissing, PA 19610
Phone (610) 373-2300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851477103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101231",
            "telephone_number": "610-373-2300",
            "fax_number": "610-373-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101231",
            "telephone_number": "610-373-2300",
            "fax_number": "610-373-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "DARRYL",
        "middle_name": "MARSDEN",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006579T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA/CBC PROVIDER CODE",
            "identifier": "396393",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PBS PROVIDER CODE",
            "identifier": "GR552240",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.