GREG ROSS WALDORF (O.D) – Optometrist, NPI 1386709947

GREG ROSS WALDORF (O.D) is a healthcare provider. based in Lincoln, Rhode Island. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. OPT5082 (MA). The NPI Number for GREG ROSS WALDORF (O.D) is 1386709947

Main info

Male
Sole Proprietor
30 Years Of Experience
Name
GREG ROSS WALDORF (O.D)
NPI
1386709947
Phone
(401) 721-5599
Address
132 OLD RIVER RD STE 201
Enumeration Date
26 December 2006
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083364096
Graduation Year
1996 (30 years ago)
PAC ID
1759355845
Group Practice PAC ID
0648362442
Professional Enrollment ID
I20170213000674
Address ID
MA027715805SE15XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

225 OPTOMETRY in RI

Provider Addresses for GREG ROSS WALDORF (O.D)

  • 201, Old River Road, Manville, Lincoln, Providence County, Rhode Island, 02865, United States

    LINCOLN, RI 028651158

    Phone: (401) 721-5599

    Fax: (401) 721-5597

    Type: Mailing

  • 43 Jefferson Blvd Ste 1

    Warwick, RI 028881078

    Phone: (401) 941-3322

    Type: Location

  • 99 E MAIN RD

    MIDDLETOWN, RI 028424983

    Phone: (401) 848-7400

    Fax: (401) 848-7402

    Type: Mailing

  • 10 LINCOLN SQ

    WORCESTER, MA 016081135

    Phone: (508) 373-5830

    Fax: (508) 519-5512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$30
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: 2017-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120330000065IOptometryRITBD
I20170213000674IOptometryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02865)

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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: 0648362442View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YRI
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

Does GREG ROSS WALDORF (O.D) have a public NPI I can cite?
Public records show GREG ROSS WALDORF (O.D) under NPI 1386709947.
Quick check: is GREG ROSS WALDORF (O.D) active?
Public NPPES data shows GREG ROSS WALDORF (O.D) with an active NPI status right now.
How should patients interpret GREG ROSS WALDORF (O.D)'s specialty?
The extract shows Optometrist for GREG ROSS WALDORF (O.D). Clinical services aligned with this taxonomy classification.
Can patients visit GREG ROSS WALDORF (O.D) in Lincoln, Rhode Island?
For routing, start with Lincoln, Rhode Island for GREG ROSS WALDORF (O.D), then verify phone and hours locally.
Why is information missing for GREG ROSS WALDORF (O.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.