Active NPI
Victor Frank Greco Jr., DO
- Optometrist
- Wilkes-Barre, PA
National Provider Identifier
1912166372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE005507P
- Practice address
- 258 Wilkes-Barre Township Boulevard
Wilkes-Barre, PA 18702 - Phone
- (570) 825-2020
- Fax
- (570) 825-2020
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE005507P | PA | Primary |
Addresses
Primary practice location
258 Wilkes-Barre Township Boulevard
Wilkes-Barre, PA 18702
Mailing address
258 Wilkes-Barre Township Boulevard
Wilkes-Barre, PA 18702
Phone (570) 825-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE005507P | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1912166372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 WILKES-BARRE TOWNSHIP BOULEVARD",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-825-2020",
"fax_number": "570-825-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 WILKES-BARRE TOWNSHIP BOULEVARD",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-825-2020",
"fax_number": "570-825-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "VICTOR",
"middle_name": "FRANK",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE005507P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes-Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.