Active NPI
Ralph J Gentile, OD
- Optometrist
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003012
- Practice address
- 7180 Highland Rd
Waterford, MI 48327 - Phone
- (248) 666-4020
- Fax
- (248) 666-4173
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003012 | MI | Primary |
Addresses
Primary practice location
7180 Highland Rd
Waterford, MI 48327
Mailing address
140 Macomb
Mt Clemens, MI 48043
Phone (586) 468-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
Locations
3192 S Linden Rd
Ste B121
Flint, MI 48507
Phone (810) 230-9300
118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479
140 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 464-1479
7084 Highland Rd
Waterford, MI 48327
Phone (248) 666-4020
7180 Highland Rd
Waterford, MI 48327
Phone (248) 666-4020
7710 Montgomery Rd
Ste A
Cincinnati, OH 45236
7710A Montgomery Rd
Cincinnati, OH 45236
Phone (513) 791-5911
2870 W Market St
Ste B
Fairlawn, OH 44333
Phone (234) 303-2560
2720 Elida Rd
Ste 124
Lima, OH 45805
Phone (419) 225-7100
7689 Mentor Ave
Mentor, OH 44060
Phone (440) 742-4900
4315 Milan Rd
Sandusky, OH 44870
Phone (419) 624-0456
4038 Talmadge Rd
Ste 107
Toledo, OH 43623
Phone (419) 476-7321
Organizations & group practices 5
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.
-
- Optometrist
- Mount Clemens, MI
- NPI 1194879023
-
- Optometrist
- Waterford, MI
- NPI 1285769240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306982517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MACOMB",
"city": "MT CLEMENS",
"state": "MI",
"postal_code": "48043",
"telephone_number": "586-468-7370",
"fax_number": "586-464-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48327",
"telephone_number": "248-666-4020",
"fax_number": "248-666-4173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "RALPH",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
- General Orthopedics, PC (Bone and Joint Specialists)
- General Orthopedics, PC (Bone and Joint Specialists)
- Genesis Home Health Network LLC
- Genesys Regional Medical Center (Waterford Teen Health Center)
- Samantha Lynn Genette
- Genuine Solutions Counseling Center
- Jewels George, PA
- Alina Georges, DDS
- Jenna Rae Gepper, LPC
- Martha E Gerecke, LPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.