Active NPI
Richard Edwin Gay, OD
- Optometrist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003248
- Practice address
- 19173 Mack Ave
Detroit, MI 48230 - Phone
- (313) 882-7883
- Fax
- (313) 882-5128
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003248 | MI | Primary |
Addresses
Primary practice location
19173 Mack Ave
Detroit, MI 48230
Mailing address
140 Macomb
Mt Clemens, MI 48043
Phone (586) 468-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090505000041 | MI | Practitioner - Optometry | 4688722432 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SVS Vision Inc
Practice addresses (Care Compare)
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7612
19173 Mack Ave
Grosse Pointe Woods, MI 48236-2803
Phone (313) 882-7883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| E Gay Eye Care PLLC | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Past | Accepting new patients |
Locations
2669 Union Lake Rd
Commerce Township, MI 48382
Phone (248) 360-4300
3192 S Linden Rd
Ste B121
Flint, MI 48507
Phone (810) 230-9300
19173 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-7883
118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479
140 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 464-1479
36824 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 276-9300
3824 E 13 Mile Rd
Warren, MI 48092
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Detroit, MI
- NPI 1215367107
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- Mount Pleasant, MI
- NPI 1558246942
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- Optometrist
- Grosse Pointe Woods, MI
- NPI 1235264722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053467142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MACOMB",
"city": "MT CLEMENS",
"state": "MI",
"postal_code": "48043",
"telephone_number": "586-468-7370",
"fax_number": "586-464-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19173 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-882-7883",
"fax_number": "313-882-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "RICHARD",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.