Lindsey Ellicott-Gasta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004919 Issued in MI

Practice address

3443 County Line Rd
Casco, MI 48064-1000

Phone

(586) 727-8000

Fax

(586) 727-8004

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Orion Vision PCGroup PAC ID 9638482128, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Orion Vision PC

  • Optometrist
  • Lake Orion, MI
  • NPI 1881072494
  Medicare reassignment Care Compare group
• St Clair Eye PLLC

  • Optometrist
  • Casco, MI
  • NPI 1619270972
  Medicare reassignment NPD
• St Clair Eye PLLC

  • Optometrist
  • St Clair, MI
  • NPI 1730264995
  NPD
• Robert E. Deck, III O.D., PC

  • Optometrist
  • Lake Orion, MI
  • NPI 1538413588
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1174908057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 COUNTY LINE RD",
            "city": "CASCO",
            "state": "MI",
            "postal_code": "480641000",
            "telephone_number": "586-727-8000",
            "fax_number": "586-727-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 COUNTY LINE RD",
            "city": "CASCO",
            "state": "MI",
            "postal_code": "480641000",
            "telephone_number": "586-727-8000",
            "fax_number": "586-727-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLICOTT-GASTA",
        "first_name": "LINDSEY",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Betz, RD
• Liesl A Black, O.D.
• Lisa Marie Pollauf
• St Clair Eye PLLC
• Ashley Teltow, MS, RDN

• Optometrist in Casco, MI
• Providers in Casco, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.

Verify at the official NPI Registry.