Gary S. Oppenheim, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002613 Issued in MI

Legal business name

GARY S. OPPENHEIM, O.D., P.C.

Practice address

33308 Grand River Ave
Farmington, MI 48336-3124

Phone

(248) 474-5125

Fax

(248) 474-5484

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Gary Steven Oppenheim, O.D.

Title

President

Phone

(248) 474-5125

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• EYE SPY EYE CARE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaye Alexandra Liberman, 0.D.

  • Optometrist
  • Fraser, MI
  • NPI 1215388749
  NPD (past)
• Andrew Steven White, O.D.

  • Optometrist
  • Novi, MI
  • NPI 1407232879
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1275720013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33308 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363124",
            "telephone_number": "248-474-5125",
            "fax_number": "248-474-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33308 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363124",
            "telephone_number": "248-474-5125",
            "fax_number": "248-474-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S. OPPENHEIM, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-474-5125",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F34230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900F366860",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE SPY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriel Counseling Services, Inc.
• Galaxie Diagnostics LLC
• Tarek Garada, MD
• Abby Marie Gardner, CMT, HHP
• Herbert M. Gardner, D.D.S.
• GD Mi Farmington PLLC
• Gennao LLC
• Jeffrey Dennis Ghioto, D.O.
• Dean A. Gilbert, D.D.S.
• Ginas Bowen Therapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.