Organization Active NPI

Bayview Optical Inc

  • Optometrist
  • Livonia, MI
National Provider Identifier
1467625673
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003562 Issued in MI
Legal business name
BAYVIEW OPTICAL INC
Practice address
33012 7 Mile Rd
Livonia, MI 48152-1358
Phone
(248) 482-2020
Fax
(248) 476-6441
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Dr. Gerald Norman Blaize, O.D.NPI 1184706814
Title
President
Phone
(248) 482-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003562 MI Primary

Addresses

Primary practice location

33012 7 Mile Rd
Livonia, MI 48152-1358

Mailing address

33012 7 Mile Rd
Livonia, MI 48152-1358
Phone (248) 482-2020

Other names 1

  • Bayview Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000421 MI Part B Supplier - Clinic/Group Practice 1557523412 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1467625673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33012 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521358",
            "telephone_number": "248-482-2020",
            "fax_number": "248-476-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33012 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521358",
            "telephone_number": "248-482-2020",
            "fax_number": "248-476-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "BLAIZE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-482-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.