Matthew David Grucella, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5309 Issued in OH

Practice address

1333 N Carpenter Rd
Brunswick, OH 44212-3178

Phone

(330) 741-3407

Fax

(330) 741-4037

NPI assigned

Sep 11, 2006

Last updated

Nov 4, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brunswick Optical

  • Optometrist
  • Brunswick, OH
  • NPI 1659920189
  NPD Authorized official
• Clear Image Eyecare, LLC

  • Optometrist
  • Worthington, OH
  • NPI 1528079498
  NPD (past)
• Gregory Sasarak Inc

  • Clinic/Center
  • Elyria, OH
  • NPI 1710239991
  NPD (past)
• Lang Optical Inc.

  • Eyewear Supplier
  • Elyria, OH
  • NPI 1144394248
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1861596884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 WATERBURY RD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074817",
            "telephone_number": "216-241-3210",
            "fax_number": "216-241-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N CARPENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123178",
            "telephone_number": "330-741-3407",
            "fax_number": "330-741-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUCELLA",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Rae Greene
• Felicity Griffin
• Danielle Nicole Groppi
• William Joseph Grospitch, PT, DPT, AT
• Richard Grove
• Elizabeth Marie Gutbrod, OTR L
• Calvinia Leah Hall-Walker, NP
• Najwa Euphoria Hall
• Evelyn Renee Hammon
• Stephanie Anna Hansel

• Optometrist in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.