Individual provider Active NPI

Sarah J Gregg, OD

  • Optometrist
  • Rockford, IL
National Provider Identifier
1881703049
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009860 Issued in IL
Practice address
1393 S Alpine Rd
Family Optical Centre Inc
Rockford, IL 61108-4069
Phone
(815) 229-0500
Fax
(815) 229-5005
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009860 IL Primary

Addresses

Primary practice location

1393 S Alpine Rd
Family Optical Centre Inc
Rockford, IL 61108-4069

Mailing address

1393 S Alpine Rd
Rockford, IL 61108-4069
Phone (815) 229-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20061110000384 IL Practitioner - Optometry 1153329933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

304 N State St
Belvidere, IL 61008-3225
Phone (815) 544-3431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co. Inc. Optometrist CurrentSince Dec 21, 2016 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Dec 21, 2016 Accepting new patients
Rosin Optical Co., Inc. Optometrist Past Accepting new patients

Locations

304 N State St
Belvidere, IL 61008
Phone (815) 544-3431

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

6410 E State St
Rockford, IL 61108
Phone (815) 397-2020

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1881703049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 S ALPINE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084069",
            "telephone_number": "815-229-0500",
            "fax_number": "815-229-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 S ALPINE RD",
            "address_2": "FAMILY OPTICAL CENTRE INC",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084069",
            "telephone_number": "815-229-0500",
            "fax_number": "815-229-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.