Gladstone Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004220 Issued in MI

Legal business name

GLADSTONE EYE CARE PC

Practice address

20 S 10TH St
Gladstone, MI 49837-1526

Phone

(906) 420-8322

Fax

(906) 420-8322

NPI assigned

Oct 20, 2011

Last updated

Oct 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Marie Cameron, O.D.NPI 1316921810

Title

President

Phone

(906) 420-8322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Jessica M Cameron, O.D.

  • Optometrist
  • Gladstone, MI
  • NPI 1316921810
  Medicare reassignment NPD Authorized official
• Matthew James Verbrigghe, OD

  • Optometrist
  • Corpus Christi, TX
  • NPI 1790379220

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1245515345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 10TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371526",
            "telephone_number": "906-420-8322",
            "fax_number": "906-420-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 10TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371526",
            "telephone_number": "906-420-8322",
            "fax_number": "906-420-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-420-8322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G Scott Kelly DDS PC
• Alicia Gabriel
• Gallery B Smiles
• Dana Gehlhausen, L.AC.
• Kellie Jean Gillis, DC
• Gladstone Pharmacy Inc. (Gladstone Pharmacy)
• Justin Grabowski
• Ned James Hall, R.PH.
• Daniel John Howes, P.T.
• Iron Mountain Vamc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.