Individual provider Active NPI

Richard Edwin Gay, OD

  • Optometrist
  • Detroit, MI
National Provider Identifier
1053467142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003248 Issued in MI
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9931257110, 41 clinicians

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

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Mar 23, 2009 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Mar 23, 2009 Accepting new patients
SVS Vision Inc Optometrist Current Accepting new patients
E Gay Eye Care PLLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
SVS Vision Inc Optometrist PastSince Feb 2, 2025 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.

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

Verify at the official NPI Registry.