DR. GREGG ALLEN BANNETT (NPI# 1720097157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720097157 |
| Entity Type | Individual |
| Full Name | DR. GREGG ALLEN BANNETT |
| Credential | DO |
| Practice Address |
620 N Broad St Woodbury NJ 08096-1795 |
| Practice Telephone | 8568535554 |
| Practice Fax Number | 8568535650 |
| Mailing Telephone | 8568535554 |
| Mailing Fax Number | 8568535650 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MB04846500 | NJ | Other Service Providers |
| Y | 207W00000X | Ophthalmology | 25MB04846500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
620 N BROAD ST |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-1795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770580524 | David Schwartz | Specialist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2005-07-07 |
| 1801429147 | Faith Sikorski | Audiologist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2020-02-14 |
| 1720411630 | Melissa Gutierrez | Audiologist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2013-08-14 |
| 1174797252 | Florence O'kane | Audiologist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2008-04-18 |
| 1992978936 | Laura Berman | Audiologist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2008-04-10 |
| 1780856104 | Katherine Gilman | Audiologist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2008-03-26 |
| 1518139013 | Dawn Taylor | Audiologist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2008-03-25 |
| 1649491978 | Kara Della Torre | Ophthalmology | 620 N Broad St, Woodbury, NJ 08096-1795 | 2007-05-02 |
| 1437208287 | Bannett Eye Centers, Pa | Ophthalmology | 620 N Broad St, Woodbury, NJ 08096-1795 | 2007-01-10 |
| 1821007261 | Bannett Eye Centers | Specialist | 620 N Broad St, Woodbury, NJ 08096-1795 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851589709 | Mohit Alex Dewan | Ophthalmology | 635 Bielenberg Dr Ste 220, Woodbury, MN 55125-2625 | 2007-10-04 |
| 1316972367 | David Allen Schlessinger | Ophthalmology | 75 Froehlich Farm Blvd, Woodbury, NY 11797-2903 | 2006-07-11 |
| 1295707958 | Douglas George Tani | Ophthalmology | 7125 Tamarack Rd Ste 100, Woodbury, MN 55125-1308 | 2006-02-06 |
| 1568462042 | Srilata Sriram Naidu | Ophthalmology | 225 Froehlich Farm Blvd, Woodbury, NY 11797 | 2005-07-27 |
| 1073519500 | Barry David Galman | Ophthalmology | 661 N Broad St, Woodbury, NJ 08096-1621 | 2005-06-21 |
| 1275538571 | Gary S Schwartz | Ophthalmology | 237 Radio Dr Ste 100, Woodbury, MN 55125-4478 | 2005-06-15 |
| 1356753883 | Brett Michael Weinstock | Ophthalmology | 661 N Broad St, Woodbury, NJ 08096 | 2014-06-02 |
| 1295077444 | Krista Stewart | Ophthalmology | 7125 Tamarack Rd Ste 100, Woodbury, MN 55125-1308 | 2013-03-25 |
| 1174750079 | Alla Kelly | Ophthalmology | 2080 Woodwinds Dr, 110, Woodbury, MN 55125-2523 | 2009-06-18 |
| 1407097736 | Lebanon Eye Associates | Ophthalmology | 370 Doolittle Rd, Suite 4, Woodbury, TN 37190-1129 | 2009-03-17 |
| Find all providers in WOODBURY | ||||
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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.