OUTREACH EYECARE LLC
NPI 1659054070
Optometrist in Charlottesville, VA

Q: What is Outreach Eyecare LLC's NPI number?

The NPI number for Outreach Eyecare LLC is 1659054070. It was assigned to this organization in the NPPES registry on August 11, 2023.

Q: What is Outreach Eyecare LLC's specialty?

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

Active since August 11, 2023

1020 CARRINGTON PL FL 2, CHARLOTTESVILLE, VA 22901(813) 534-8203 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Outreach Eyecare Llc NPPES

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

OUTREACH EYECARE LLC (NPI 1659054070) is a healthcare organization registered as an optometrist in Charlottesville, Virginia and active in the NPI registry since August 2023. The organization lists Bogdan Grynyk, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1659054070

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOUTREACH EYECARE LLC

Location Address1020 CARRINGTON PL FL 2Charlottesville, VA 22901-1891

Mailing Address1020 Carrington Pl Fl 2Charlottesville, VA 22901-1891

Phone(813) 534-8203

Organization SubpartNo

Authorized OfficialBogdan GrynykOptometrist · (315) 383-8617

Enumeration DateAugust 11, 2023

NPPES CertifiedAugust 11, 2023

✔ NPI 1659054070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

1020 CARRINGTON PL FL 2, Charlottesville, VA 22901

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Outreach Eyecare Llc 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 Outreach Eyecare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bogdan Grynyk

Optometry

NPI 1720574759

10934 N DALE MABRY HWY
Carrollwood, FL 33618

(813) 559-4990

✔ PECOS✔ Accepts Medicare729 mi

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 Outreach Eyecare LLC's NPI number?

The NPI number for Outreach Eyecare LLC is 1659054070. It was assigned to this organization in the NPPES registry on August 11, 2023.

Where is Outreach Eyecare LLC located?

Outreach Eyecare LLC is located at 1020 Carrington Pl Fl 2, Charlottesville, VA 22901. The listed phone number is (813) 534-8203.

What is Outreach Eyecare LLC's specialty?

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

Is Outreach Eyecare LLC enrolled in Medicare?

Yes. Outreach Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Outreach Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Outreach Eyecare LLC. 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.

When was this NPI record last updated?

The NPPES record for Outreach Eyecare LLC was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.