John Edward Gorz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1997 Issued in WI

Practice address

1021 Jefferson St
Algoma, WI 54201-1737

Phone

(920) 487-2020

Fax

(920) 487-5022

NPI assigned

Dec 9, 2005

Last updated

Apr 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

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

Illinois College of Optometry at Chicago, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Vision Centers, LTDGroup PAC ID 9133200900, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Vision Centers, LTD

  • Clinic/Center
  • Algoma, WI
  • NPI 1780734418
  Medicare reassignment Care Compare group NPD
• Lakeshore Vision Centers LTD

  • Clinic/Center
  • Kewaunee, WI
  • NPI 1073663704
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1295710515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N 7881 WILLOW DR",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542019699",
            "telephone_number": "920-487-2077",
            "fax_number": "920-487-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 JEFFERSON ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011737",
            "telephone_number": "920-487-2020",
            "fax_number": "920-487-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZ",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000247383",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38574100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38709200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D G Kenny DC SC
• Door County Memorial Hospital (Door County Medical Center Algoma)
• Ashley Duescher, MSW, LCSW
• Cheryl L Enabnit, COTA/L
• Fremont SNF Opco LLC (Waterfall Health of Algoma)
• Michael John Gorz, OD
• Brian William Hansen, R.PH.
• Nathan C Hayes, DO
• Johnson Medical Clinic
• Tori Jorgensen, RN

• Optometrist in Algoma, WI
• Providers in Algoma, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.