Gloria Stephanie Enriquez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004913 Issued in MI

Practice address

1425 N Leroy St
Fenton, MI 48430-2763

Phone

(810) 629-2041

Fax

(810) 629-9366

NPI assigned

Jul 9, 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

International American University at Puerto Rico - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joseph M Leppek OD PLLCGroup PAC ID 0547482242, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Joseph M Leppek O.D. PLLC

  • Optometrist
  • Fenton, MI
  • NPI 1508260852
  Medicare reassignment Care Compare group NPD
• G Stephanie Enriquez OD PLLC

  • Vision Therapy Optometrist
  • Flint, MI
  • NPI 1285293738
  Medicare reassignment Authorized official
• G Stephanie Enriquez OD PLLC

  • Optometrist
  • Flint, MI
  • NPI 1417514175
  NPD Authorized official

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1255714150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302763",
            "telephone_number": "810-629-2041",
            "fax_number": "810-629-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302763",
            "telephone_number": "810-629-2041",
            "fax_number": "810-629-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "GLORIA",
        "middle_name": "STEPHANIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J. Lis, Jr, DO, PLLC
• Diane Kay Elizondo
• Kathleen Marie Ellis, LPTA
• Angela Margaret Elrod
• Laura J Enos, LMSW
• Erin Ferme MSW
• Riley Kay Erlenbeck
• Patricia Peyton Essenmacher, LMSW
• Eye Associates of Michigan, PLC
• Eye Care Company

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.