MATTHEW DAVID GRUCELLA (NPI# 1861596884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861596884 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID GRUCELLA |
| Credential | OD |
| Practice Address |
1333 N Carpenter Rd Brunswick OH 44212-3178 |
| Mailing Address |
1486 Waterbury Rd Lakewood OH 44107-4817 |
| Practice Telephone | 3307413407 |
| Practice Fax Number | 3307414037 |
| Mailing Telephone | 2162413210 |
| Mailing Fax Number | 2162412458 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5309 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2345939 | 05 |
| Street Address |
1333 N CARPENTER RD |
| City | BRUNSWICK |
| State | OH |
| Zip Code | 44212-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920189 | Brunswick Optical | Optometrist | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2019-09-07 |
| 1659782852 | Sounds Like A Plan | Hearing Instrument Specialist | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2014-05-12 |
| 1346538386 | Sandy D Kraft | Optometrist | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2011-07-12 |
| 1316093651 | Richard Allen Kershaw | Optometrist | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2007-01-27 |
| 1558431999 | Union Eye Care Center, Inc. | Eyewear Supplier (Equipment, not the service) | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100828 | Maya L Cortes | Counselor | 1839 Pearl Rd Ste 103, Brunswick, OH 44212 | 2018-07-16 |
| 1306331293 | Sanamkaiser, Inc | Dentist | 3864 Center Road, Brunswick, OH 44212 | 2018-06-25 |
| 1548780802 | Brunswick Health & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4355 Laurel Rd, Brunswick, OH 44212 | 2017-06-27 |
| 1265989768 | Shannon Hearns | Specialist/Technologist | 2034 Coventry Drive, Brunswick, OH 44212 | 2016-09-01 |
| 1770972127 | Sapan Haribhakti | Pharmacist | 736 Jeanette Street, Brunswick, OH 44212 | 2015-01-22 |
| 1487931473 | Tiffany Lester | Occupational Therapist | 3225 Pinecrest, Brunswick, OH 44212 | 2011-11-04 |
| 1306153176 | Heather Kurtz | Skilled Nursing Facility | 1229 Roundtable Court, Brunswick, OH 44212 | 2010-09-01 |
| 1609033299 | Paul Lawrence Bushi | Dentist | 3725 Center Road, Brunswick, OH 44212 | 2008-05-21 |
| 1326247941 | Janet Nicol Husser | Chiropractor | 4036 Center Road, Suite A, Brunswick, OH 44212 | 2007-07-13 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| Find all providers in zip 44212 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992058234 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 3303 Glynn Avenue, Brunswick, GA 31520-4406 | 2012-10-24 |
| 1548438260 | Paul H Heavner | Optometrist | 60 Souder Road, Brunswick Family Vision Center, Brunswick, MD 21716 | 2008-02-15 |
| 1588843080 | Carolyn V Ormes | Optometrist | 15 E Potomac St, Brunswick, MD 21716-1409 | 2007-10-31 |
| 1376741538 | Seema Bhula | Optometrist | 149 Altama Connector, Brunswick, GA 31525-1853 | 2007-07-10 |
| 1912087636 | Brian L Daniels | Optometrist | 331 Maine St., Suite 1, Brunswick, ME 04011-3359 | 2006-10-17 |
| 1366540007 | John E Imhoff Md PC | Optometrist | 3215 Shrine, Suite 6, Brunswick, GA 31520 | 2006-09-20 |
| 1235241464 | William C Everett | Optometrist | 120 Commerce Dr, Suite 100, Brunswick, GA 31525-1890 | 2006-09-01 |
| 1154346088 | Sara E Phelps | Optometrist | 3303 Glynn Ave, Brunswick, GA 31520-4406 | 2006-07-13 |
| 1023070588 | Samantha Kelly-seltzer | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2006-04-03 |
| 1003875386 | Ian Buchli | Optometrist | 90 Village At Glynn Pl, Brunswick, GA 31525-1993 | 2006-03-23 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.