DR. AMANDA ALHOUT GREDZIK (O.D.) – Optometrist, NPI 1699393777

DR. AMANDA ALHOUT GREDZIK (O.D.) is a healthcare provider. based in Fairfield, New Jersey. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 27OA00695900 (NJ). The NPI Number for DR. AMANDA ALHOUT GREDZIK (O.D.) is 1699393777

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA ALHOUT GREDZIK (O.D.)
NPI
1699393777
Phone
Not provided
Address
174 SAND RD
Enumeration Date
6 July 2020
Last Update Date
9 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323829000
Graduation Year
2020 (6 years ago)
PAC ID
4183042906
Group Practice PAC ID
5294624953
Professional Enrollment ID
I20200910002597
Address ID
NJ070652750RA1530XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,048 OPTOMETRY in NJ

Provider Addresses for DR. AMANDA ALHOUT GREDZIK (O.D.)

  • 174 SAND RD

    FAIRFIELD, NJ 070041574

    Phone:

    Type: Mailing

  • 1530 SAINT GEORGES AVE

    RAHWAY, NJ 070652750

    Phone: (732) 382-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $381.

Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($149).

Total Amount

$381

General + Research + Ownership

Payments

7

Total payment records

General Amount

$381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200910002597IOptometryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system10288$0
92250Photography of the retina7777$0
92014Established patient complete exam of visual system4949$0
92004New patient complete exam of visual system3939$0
92083Exam of visual field with extended testing2524$0
View full utilization report →

Insurance plans in this area (ZIP 07004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294624953View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNJ
O P T O M E T R YNJ
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AMANDA ALHOUT GREDZIK (O.D.)'s NPI?
Yes. DR. AMANDA ALHOUT GREDZIK (O.D.) is listed with NPI 1699393777 in the public NPI dataset.
Is DR. AMANDA ALHOUT GREDZIK (O.D.) listed as active for patients and plans?
The listing shows DR. AMANDA ALHOUT GREDZIK (O.D.) as active in the NPI system.
What taxonomy line describes DR. AMANDA ALHOUT GREDZIK (O.D.)?
For research purposes, treat DR. AMANDA ALHOUT GREDZIK (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. AMANDA ALHOUT GREDZIK (O.D.) list a practice location?
Patients near Fairfield, New Jersey may find DR. AMANDA ALHOUT GREDZIK (O.D.) in results; validate coverage separately.
Why does DR. AMANDA ALHOUT GREDZIK (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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