Active NPI
G Stephanie Enriquez OD PLLC
- Vision Therapy Optometrist
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- Legal business name
- G STEPHANIE ENRIQUEZ OD PLLC
- Practice address
- 4091 Richfield Rd
Flint, MI 48506-2033 - Phone
- (810) 736-6673
- NPI assigned
- Jun 9, 2019
- Organization subpart
- Yes
- Parent organization
- G. STEPHANIE ENRIQUEZ OD PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gloria Stephanie Enriquez, OD
- Title
- Optometrist
- Phone
- (515) 229-7736
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | Primary |
Addresses
Primary practice location
4091 Richfield Rd
Flint, MI 48506-2033
Mailing address
4091 Richfield Rd
Flint, MI 48506-2033
Other names 1
- Flint Sensory Learning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- G Stephanie Enriquez OD PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Flint, MI
- NPI 1417514175
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fenton, MI
- NPI 1255714150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560038400000",
"number": "1285293738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4091 RICHFIELD RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485062033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4091 RICHFIELD RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485062033",
"telephone_number": "810-736-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G STEPHANIE ENRIQUEZ OD PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "G. STEPHANIE ENRIQUEZ OD PLLC",
"enumeration_date": "2019-06-09",
"last_updated": "2019-06-09",
"status": "A",
"authorized_official_last_name": "ENRIQUEZ",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "STEPHANIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "515-229-7736",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Flint Sensory Learning",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.