Individual provider Active NPI

Mary H Espy, OD

  • Optometrist
  • Flint, MI
National Provider Identifier
1538130703
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003627 Issued in MI
Practice address
G3541 Miller Rd
Flint, MI 48507-1235
Phone
(810) 732-8610
NPI assigned
Jan 27, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003627 MI Primary

Addresses

Primary practice location

G3541 Miller Rd
Flint, MI 48507-1235

Mailing address

G3541 Miller Rd
Flint, MI 48507-1235
Phone (810) 732-8610

Other identifiers 3

IdentifierTypeStateIssuer
P60754OtherMIBLUE CARE NETWORK
4445165MedicaidMI
11839337OtherCAQH

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
I20050525000359 MI Practitioner - Optometry 8224070727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

G3541 Miller Rd
Flint, MI 48507-1235
Phone (810) 732-8610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary H Espy OD PC Current Accepting new patients
Mary H Espy OD PC Optometrist CurrentSince Sep 1, 2002 Accepting new patients
Andersen Eye Associates, PLC Past Accepting new patients
Timothy G McNally DO PC PastSince Jan 10, 2011 Accepting new patients

Locations

3364 S Center Rd
Burton, MI 48519
Phone (810) 743-3937

G3541 Miller Rd
Flint, MI 48507
Phone (810) 732-8610

Interoperability endpoints

  • Direct secure messaging: dr.maryespy@direct.revolutionehr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1538130703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3541 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071235",
            "telephone_number": "810-732-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3541 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071235",
            "telephone_number": "810-732-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPY",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P60754",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4445165",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11839337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.