Individual
DR. GREG PIENTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
640 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33426-3637
(561) 732-8088
(561) 732-8112
Mailing address
640 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33426-3637
(561) 732-8088
(561) 732-8112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-3038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620319100
—
FL
01
—
E0504
MEDICARE ID#
FL
Enumeration date
05/04/2006
Last updated
06/08/2016
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