G Stephanie Enriquez OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

G STEPHANIE ENRIQUEZ OD PLLC

Doing business as

Flint Vision

Practice address

4091 Richfield Rd
Flint, MI 48506-2033

Phone

(810) 736-0710

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Stephanie Enriquez, ODNPI 1255714150

Title

Optometrist

Phone

(810) 736-0710

Specialties & licenses 1

Addresses

Other names 1

• Flint Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• G Stephanie Enriquez OD PLLC

  • Vision Therapy Optometrist
  • Flint, MI
  • NPI 1285293738

  O20190813000198

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• G Stephanie Enriquez OD PLLC

  • Vision Therapy Optometrist
  • Flint, MI
  • NPI 1285293738
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Stephanie Enriquez, O.D.

  • Optometrist
  • Fenton, MI
  • NPI 1255714150
  NPD Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1417514175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-0710",
            "fax_number": "810-736-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G STEPHANIE ENRIQUEZ OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-736-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Fulton-Steinard
• Harry Jeffery Fulton, LMSW
• Kalaya Marie Funches
• Jeffrey Mark Funck, RN
• G Stephanie Enriquez OD PLLC
• Molly Gabriel-Champine, PHD
• Michael Gackler, LBSW
• Elma Lourdes Barbado Gacoscos, APRN-BC
• John C. Gacoscos, CRNA
• Reegan Gadany

• Optometrist in Flint, MI
• Providers in Flint, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.