Active NPI
David A. Gourwitz, O.D.
- Corneal and Contact Management Optometrist
- Grosse Pointe Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 4901002541
- Practice address
- Henry Ford Ophthalmology - Grosse Pointe Park
15401 E. Jefferson Ave.
Grosse Pointe Park, MI 48230 - Phone
- (313) 824-9359
- NPI assigned
- Feb 26, 2007
- Last updated
- Mar 31, 2021
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 4901002541 | MI | Primary |
Addresses
Primary practice location
Henry Ford Ophthalmology - Grosse Pointe Park
15401 E. Jefferson Ave.
Grosse Pointe Park, MI 48230
Mailing address
Henry Ford Hospital - Grosse Pointe Ophthalmology
15401 E. Jefferson Ave.
Grosse Pointe Park, MI 48230
Phone (313) 824-9359
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG002541 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| DG002541 | Other | CHAMPUS-CHAMPUS | |
| 271945894 | Medicaid | MI | |
| 900H263870 | Other | BLUE CROSS-BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 77.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.96
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 |
| Pcor LLC | Optometrist | Current | Accepting new patients |
| Pcor, LLC | Optometrist | Current | Accepting new patients |
| Michigan Eyecare Institute, P.C. | Optometrist | Past | Accepting new patients |
| Michigan Eyecare Institute, P.C. | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401
655 W 13 Mile Rd
Madison Hts, MI 48071
Phone (248) 577-3616
118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479
16256 Fort St
Southgate, MI 48195
Phone (734) 225-9500
735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300
35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200
Interoperability endpoints
- dgourwitz12863@direct.hfhs.org
- https://app.meldrx.com/api/fhir/me61ws34
Organizations & group practices 6
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
- Troy, MI
- NPI 1720033343
-
- Optometrist
- Mount Clemens, MI
- NPI 1194879023
-
- Optometrist
- Troy, MI
- NPI 1801122460
-
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
- NPI 1205986585
Optometrist
-
- Ophthalmology Physician
- Southfield, MI
- NPI 1962551531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1568598175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HOSPITAL - GROSSE POINTE OPHTHALMOLOGY",
"address_2": "15401 E. JEFFERSON AVE.",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-824-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD OPHTHALMOLOGY - GROSSE POINTE PARK",
"address_2": "15401 E. JEFFERSON AVE.",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-824-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURWITZ",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2021-03-31",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4901002541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "DG002541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "DG002541",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271945894",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "900H263870",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.