Active NPI
Paul R Gayeff OD PC
- Optometrist
- Escanaba, MI
National Provider Identifier
1285767509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002306
- Legal business name
- PAUL R GAYEFF OD PC
- Practice address
- 2500 7TH Ave S
Suite 217
Escanaba, MI 49829-1176 - Phone
- (906) 789-1400
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul R Gayeff, O.D.
- Title
- Optometrist
- Phone
- (906) 786-2664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002306 | MI | Primary |
Addresses
Primary practice location
2500 7TH Ave S
Suite 217
Escanaba, MI 49829-1176
Mailing address
2500 7TH Ave S
Suite 217
Escanaba, MI 49829-1176
Phone (906) 789-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5096229 | Medicaid | MI | |
| DG1305 | Other | RAILROAD MEDICARE | |
| 900B110170 | Other | MI | BCBS OF MI |
National Provider Directory
National Provider DirectoryLocations
2500 7th Ave S
Ste 217
Escanaba, MI 49829
Phone (906) 789-1400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Escanaba, MI
- NPI 1316235237
-
- Optometrist
- Newberry, MI
- NPI 1659380293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347494400000",
"number": "1285767509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 7TH AVE S",
"address_2": "SUITE 217",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291176",
"telephone_number": "906-789-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 7TH AVE S",
"address_2": "SUITE 217",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291176",
"telephone_number": "906-789-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R GAYEFF OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2012-09-13",
"status": "A",
"authorized_official_last_name": "GAYEFF",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "906-786-2664",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901002306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5096229",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG1305",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "900B110170",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.