Individual provider Active NPI

Elizabeth Grace Avery, OD

  • Optometrist
  • Saline, MI
National Provider Identifier
1437715091
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005728 Issued in MI
Practice address
450 E Michigan Ave
Saline, MI 48176-1684
Phone
(734) 688-8052
Fax
(734) 293-0910
NPI assigned
May 19, 2019
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005728 MI Primary

Addresses

Primary practice location

450 E Michigan Ave
Saline, MI 48176-1684

Mailing address

450 E Michigan Ave
Saline, MI 48176-1684
Phone (734) 688-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231218001457 MI Practitioner - Optometry 2961738133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Main St
Adrian, MI 49221-1759
Phone (517) 263-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005728MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan,Inc CurrentSince May 16, 2024 Accepting new patients
Family Medical Center of Michigan,Inc Current Accepting new patients
Saline Optometry, LLC Optometrist CurrentSince Jul 17, 2026 Accepting new patients
Family Medical Center of Michigan, Inc CurrentSince May 16, 2024 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
West Point Optical Group Optometrist PastSince Dec 21, 2016 Accepting new patients
West Point Optical Group Optometrist PastSince Aug 28, 2022 Accepting new patients

Locations

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

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

450 E Michigan Ave
Saline, MI 48176
Phone (734) 429-2484

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 8

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": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1437715091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761684",
            "telephone_number": "734-688-8052",
            "fax_number": "734-293-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761684",
            "telephone_number": "734-688-8052",
            "fax_number": "734-293-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.