Dr. Gregory T Pietz
Optometrist
109 E Main St
Crawfordsville
, Indiana 47933-1710
Dr. Gregory T Pietz
Optometrist
109 E Main St
Crawfordsville
, Indiana 47933-1710
(317) 506-5343
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Gregory T Pietz
- 410 Letterman Dr
- Brownsburg, IN
- Zip : 46112-7689
- Phone : (317) 506-5343
Second Address
- Dr. Gregory T Pietz
- 109 E Main St
- Crawfordsville, IN
- Zip : 47933-1710
- Phone : (765) 362-2706
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 046-009743 | IL |
| Y | 152W00000X | Optometrist | 18002759AB | IN |
National Provider Identifier
| NPI | 1003949090 |
|---|---|
| Provider Name | Dr. Gregory T Pietz |
| First Address | Brownsburg, IN 46112-7689 |
| Second Address | Crawfordsville, IN 47933-1710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 15/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U 61574 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.