Pierangeli, Gregory Thomas
Pierangeli, Gregory Thomas is an sole proprietor health care provider with primary practice located at 2505 N Mayfair Rd Ste 100 , Wauwatosa WI 53226-1404. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Pierangeli, Gregory Thomas can be contacted via phone (414) 453-7020.Contact Information
Primary practice address
2505 N Mayfair Rd Ste 100
Wauwatosa WI 53226-1404
Phone: (414) 453-7020
Fax: (414) 453-9980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3019035 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3019 | Wisconsin |
Profile Details
| NPI number | 1982787552 |
|---|---|
| LBN Legal business name | Pierangeli, Gregory Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Feb 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982787552 | NPPES |
| Wisconsin | MEDICAID | 38627700 |
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