Individual provider Active NPI

Gregory Thomas Pierangeli, OD

  • Optometrist
  • Wauwatosa, WI
National Provider Identifier
1982787552
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3019 Issued in WI
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38627700MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000551 WI Practitioner - Optometry 9234126269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovitsky Vision Care of Wisconsin LTDGroup PAC ID 4082964499, 6 clinicians

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

LicenseStateTypeSpecialty
3019035WIMDCorneal and Contact Management Optometrist
2358ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Ovitsky Vision Care of Wisconsin LTD Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients
Vision Therapy Center of Wisconsin, LLC Past Accepting new patients
Amedco Arkansas PLLC Optometrist PastSince May 8, 2013 Accepting new patients
Vision Clinic Dr. Savin & Associates Optometrist PastSince Dec 31, 1991 Accepting new patients
Stein Optical Inc. Optometrist Past Accepting new patients
Family Eye Care Center of Racine Inc Optometrist PastSince Aug 1, 2005 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.