Individual provider Active NPI

Garry M Deo, O.D.

  • Optometrist
  • Saline, MI
National Provider Identifier
1295730687
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002365 Issued in MI
Practice address
121 E Michigan Ave
Saline, MI 48176-1552
Phone
(734) 429-9454
Fax
(734) 429-4100
NPI assigned
Jun 14, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002365 MI Primary

Addresses

Primary practice location

121 E Michigan Ave
Saline, MI 48176-1552

Mailing address

121 E Michigan Ave
Saline, MI 48176-1552
Phone (734) 429-9454

Other identifiers 3

IdentifierTypeStateIssuer
382020340OtherMIMEBS
OH16529OtherMIBCBS OF MICHIGAN
382020340OtherMIVSP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Optometry, LLC Optometrist PastSince Jan 25, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1295730687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761552",
            "telephone_number": "734-429-9454",
            "fax_number": "734-429-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761552",
            "telephone_number": "734-429-9454",
            "fax_number": "734-429-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEO",
        "first_name": "GARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEBS",
            "identifier": "382020340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "OH16529",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "382020340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.