Organization Active NPI

Gillin Eye Care PC

  • Optometrist
  • Tecumseh, MI
National Provider Identifier
1063823912
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003791 Issued in MI
Legal business name
GILLIN EYE CARE PC
Practice address
112 N Evans St
Suite 2
Tecumseh, MI 49286-1578
Phone
(517) 424-1010
NPI assigned
May 14, 2014
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Dr. Dana Edward Gillin, O.D.NPI 1013914225
Title
Owner
Phone
(517) 424-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003791 MI Primary

Addresses

Primary practice location

112 N Evans St
Suite 2
Tecumseh, MI 49286-1578

Mailing address

112 N Evans St
Suite 2
Tecumseh, MI 49286-1578
Phone (517) 424-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805002125 MI Part B Supplier - Clinic/Group Practice 7719103159 Receives reassigned benefits from 2 practitioners
Practice locations: Tecumseh, MI

National Provider Directory

National Provider Directory

Locations

112 N Evans St
Ste 2
Tecumseh, MI 49286
Phone (517) 424-1010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1063823912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N EVANS ST",
            "address_2": "SUITE 2",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861578",
            "telephone_number": "517-424-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N EVANS ST",
            "address_2": "SUITE 2",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861578",
            "telephone_number": "517-424-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIN EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "GILLIN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-424-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.