Steven J Gradowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NE858 Issued in NE

Practice address

14760 W Center Rd
Omaha, NE 68144-2035

Phone

(402) 334-9100

Fax

(402) 330-4906

NPI assigned

Mar 17, 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 4

Medicare fee-for-service enrollment

Enrolled in NE

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

Southern College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care West, P.C.Group PAC ID 0244329142, 4 clinicians

Think Aksarben LLCGroup PAC ID 9638394505, 77 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: steve.gradowski@direct.revolutionehr.com

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.

• Eye Care West, P.C.

  • Optometrist
  • Omaha, NE
  • NPI 1114114477
  Medicare reassignment Care Compare group NPD Authorized official
• Think Aksarben, LLC

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1316357676
  Medicare reassignment Care Compare group NPD
• Omaha Primary Eye Care, P.C.

  • Optometrist
  • Elkhorn, NE
  • NPI 1942331145
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1972572212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14760 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442035",
            "telephone_number": "402-334-9100",
            "fax_number": "402-330-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14760 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442035",
            "telephone_number": "402-334-9100",
            "fax_number": "402-330-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADOWSKI",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "NE858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06914",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4775760001",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00031021",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024975500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westy Grace
• Graceful Journey Homecare
• Graceland Senior Living, Inc.
• Marlen Gracia
• Jerome F Gradoville, DDS
• Rochelle Grady, RN
• Laura A Graeff-Armas, M.D.
• Kathryn Graeve, APRN
• Trisha M Graeve, LIMHP, MSW
• Evony Graewe

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.