Individual provider Active NPI

Jason J Grygier, OD

  • Optometrist
  • Southport, CT
National Provider Identifier
1861046948
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3108 Issued in CT
Practice address
2600 Post Rd
Ste 210
Southport, CT 06890-3206
Phone
(203) 255-4005
NPI assigned
Jul 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3108 CT Primary

Addresses

Primary practice location

2600 Post Rd
Ste 210
Southport, CT 06890-3206

Mailing address

33 N Water St Unit 707
Norwalk, CT 06854-2557
Phone (740) 602-0130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20201020001435 CT Practitioner - Optometry 0749600385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Eyecare Associates PCGroup PAC ID 2769538594, 8 clinicians

Practice addresses (Care Compare)

2600 Post Rd
Southport, CT 06890-3206
Phone (203) 255-4005

992 High Ridge Rd
Stamford, CT 06905-1616
Phone (203) 357-0204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3108CTMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, P.C. Optometrist CurrentSince Jun 17, 2020 Accepting new patients
Access Physical Therapy & Wellness, LLC PastSince Jul 2, 2018 Accepting new patients

Locations

444 Westport Ave
Norwalk, CT 06851
Phone (203) 840-1991

2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005

2600 Post Rd
Ste 210
Southport, CT 06890
Phone (203) 255-4005

6515 Main St
Ste 12
Trumbull, CT 06611
Phone (203) 374-2020

6515 Main St
Trumbull, CT 06611
Phone (203) 268-9114

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1861046948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N WATER ST UNIT 707",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542557",
            "telephone_number": "740-602-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POST RD",
            "address_2": "STE 210",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068903206",
            "telephone_number": "203-255-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYGIER",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

Verify at the official NPI Registry.