NPIMap

Organization Active NPI

Gossage Eye Institute, PLC

  • Ophthalmology Physician
  • Hillsdale, MI
National Provider Identifier
1285854000
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GOSSAGE EYE INSTITUTE, PLC
Practice address
50 W Carleton Rd
Hillsdale, MI 49242-1202
Phone
(517) 439-2020
Fax
(517) 437-5577
NPI assigned
Apr 26, 2007
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. David D Gossage, D.O.NPI 1053313379
Title
Owner
Phone
(517) 439-2020

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MI Primary

Addresses

Primary practice location

50 W Carleton Rd
Hillsdale, MI 49242-1202

Mailing address

50 W Carleton Rd
Hillsdale, MI 49242-1202
Phone (517) 439-2020

Other identifiers 3

IdentifierTypeStateIssuer
4495541MedicaidMI
4247015MedicaidMI
4696989MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000032 MI Part B Supplier - Clinic/Group Practice 3779473228 Receives reassigned benefits from 4 practitioners
Practice locations: Hillsdale, MI
O20100930005555 MI DME Supplier - Physician - Osteopathic Manipulative MedicineDME Supplier - OpticianDME Supplier - Physician - Ophthalmology 3779473228 Practice locations: Hillsdale, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gossage Eye Institute, PLC50 W Carleton Rd, Hillsdale, MI 49242-1202(517) 439-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory

Locations

46 S Howell St
Hillsdale, MI 49242
Phone (517) 439-2020

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1285854000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421202",
            "telephone_number": "517-439-2020",
            "fax_number": "517-437-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421202",
            "telephone_number": "517-439-2020",
            "fax_number": "517-437-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSSAGE EYE INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "GOSSAGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-439-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4495541",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4247015",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4696989",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.