Mark Vincent Graytok, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001356 Issued in PA

Practice address

235 Humphrey Rd
Two Pineview Place-Suite1
Greensburg, PA 15601-4579

Phone

(724) 834-8033

Fax

(724) 834-4290

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graytok Family Vision CareGroup PAC ID 2567903578, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Graytok Family Vision Care

  • Optometrist
  • Greensburg, PA
  • NPI 1417033861
  Medicare reassignment Care Compare group
• Lewis a Carrarini OD Inc

  • Optometrist
  • Latrobe, PA
  • NPI 1427221472
  NPD (past)
• Seyler Berkebile Marriage & Family Therapy

  • Marriage & Family Therapist
  • Jeannette, PA
  • NPI 1730410507
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1952373318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY RD",
            "address_2": "TWO PINEVIEW PLACE-SUITE1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014579",
            "telephone_number": "724-834-8033",
            "fax_number": "724-834-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY RD",
            "address_2": "TWO PINEVIEW PLACE-SUITE1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014579",
            "telephone_number": "724-834-8033",
            "fax_number": "724-834-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYTOK",
        "first_name": "MARK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "533151",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEATH ASS",
            "identifier": "54317",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VPMC",
            "identifier": "250860",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011668350003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2090347",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "251638621",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Gray, DO
• Holly Ann Gray, MS CCC SLP
• Jocelyn Gray, LSW
• Graytok Family Vision Care
• Brian Graytok, OD
• Chad E Green
• Greene Health & Rehab Center, LLC
• Vijaya Greene, LPC
• Robbie Greenfield, LSW
• Greengate Orthopaedic Group P.C.

• Optometrist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.