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BOURSE OPTICAL BOUTIQUE, INC.
NPI 1477757433
Optometrist in Pittsburgh, PA

Active since June 13, 2007
2275 SWALLOW HILL RD, BUILDING 700, PITTSBURGH, PA 15220(412) 489-6726(412) 489-6732 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bourse Optical Boutique, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOURSE OPTICAL BOUTIQUE, INC. (NPI 1477757433) is a healthcare organization registered as an optometrist in Pittsburgh, Pennsylvania and active in the NPI registry since June 2007. The organization lists John K. Gregory, President, as its authorized official.

NPPES Registry Identity

NPI1477757433
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBOURSE OPTICAL BOUTIQUE, INC.
Location Address2275 SWALLOW HILL RD, BUILDING 700Pittsburgh, PA 15220-1656
Mailing Address2275 Swallow Hill Rd, Building 700Pittsburgh, PA 15220-1656 · (412) 489-6726 · Fax (412) 489-6732
Phone(412) 489-6726
Fax(412) 489-6732
Organization SubpartNo
Authorized OfficialJohn K. GregoryPresident · (412) 489-6726
Enumeration DateJune 13, 2007
Last NPPES UpdateMarch 4, 2014
✔ NPI 1477757433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · PAOEG001128
Definition
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.
2275 SWALLOW HILL RD, Pittsburgh, PA 15220
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Other Identifiers 2

Medicare PIN116316PA
Medicare NSC4328540001PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bourse Optical Boutique, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bourse Optical Boutique, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

John Gregory, O.D.
Optometry
NPI 1366525347
2275 SWALLOW HILL RD BUILDING 700
Pittsburgh, PA 15220
(412) 489-6726
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bourse Optical Boutique, Inc.'s NPI number?

The NPI number for Bourse Optical Boutique, Inc. is 1477757433. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Bourse Optical Boutique, Inc. located?

Bourse Optical Boutique, Inc. is located at 2275 Swallow Hill Rd Building 700, Pittsburgh, PA 15220. The listed phone number is (412) 489-6726.

What is Bourse Optical Boutique, Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Bourse Optical Boutique, Inc. enrolled in Medicare?

Yes. Bourse Optical Boutique, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bourse Optical Boutique, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Bourse Optical Boutique, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bourse Optical Boutique, Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Bourse Optical Boutique, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bourse Optical Boutique, Inc. was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.