Active NPI
Gregory Thomas Pierangeli, OD
- Optometrist
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3019
- Practice address
- 2505 N Mayfair Rd Ste 100
Wauwatosa, WI 53226-1404 - Phone
- (414) 453-7020
- Fax
- (414) 453-9980
- NPI assigned
- Oct 24, 2006
- Last updated
- Feb 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3019 | WI | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 3019035 | WI |
Addresses
Primary practice location
2505 N Mayfair Rd Ste 100
Wauwatosa, WI 53226-1404
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38627700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11414 W Park PL
Suite 202
Milwaukee, WI 53224-3500
Phone (773) 588-3090
2505 N Mayfair Rd
Suite 100
Wauwatosa, WI 53226-1404
Phone (414) 453-7020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3019035 | WI | MD | Corneal and Contact Management Optometrist |
| 2358 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Ovitsky Vision Care of Wisconsin LTD | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Vision Therapy Center of Wisconsin, LLC | Past | Accepting new patients | |
| Amedco Arkansas PLLC | Optometrist | Past | Accepting new patients |
| Vision Clinic Dr. Savin & Associates | Optometrist | Past | Accepting new patients |
| Stein Optical Inc. | Optometrist | Past | Accepting new patients |
| Family Eye Care Center of Racine Inc | Optometrist | Past | Accepting new patients |
Locations
3500 W Peterson Ave
Ste 401
Chicago, IL 60659
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
5102 S Packard Ave
Cudahy, WI 53110
Phone (414) 769-6120
15300 Watertown Plank Rd
Elm Grove, WI 53122
Phone (262) 786-9630
120 Martin Dr
Fredonia, WI 53021
Phone (262) 692-9000
1515 6th St
Green Bay, WI 54304
Phone (920) 499-2147
535 S Monroe Ave
Green Bay, WI 54301
Phone (920) 435-9511
2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020
11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060
5312 S 27th St
Milwaukee, WI 53221
Phone (414) 281-4800
8693 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 351-2020
14151 W National Ave
New Berlin, WI 53151
Phone (414) 541-2100
217 6th St
Racine, WI 53403
Phone (262) 364-4430
2644 N 8th St
Sheboygan, WI 53083
Phone (920) 458-3312
2505 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 453-7020
1220 Parkwood Dr
Wisconsin Rapids, WI 54494
Phone (715) 421-2111
Interoperability endpoints
- gpierangeli024495@myeyedr.emadirect.md
Organizations & group practices 9
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.
-
- Optometrist
- Milwaukee, WI
- NPI 1699262170
-
- Optometrist
- Racine, WI
- NPI 1831372333
-
- Optometrist
- Racine, WI
- NPI 1518949056
-
- Vision Therapy Optometrist
- Racine, WI
- NPI 1053842419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1982787552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 N MAYFAIR RD STE 100",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261404",
"telephone_number": "414-453-7020",
"fax_number": "414-453-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERANGELI",
"first_name": "GREGORY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3019",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WI",
"license": "3019035",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38627700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.