Individual provider Active NPI

David A. Gourwitz, O.D.

  • Corneal and Contact Management Optometrist
  • Grosse Pointe Park, MI
National Provider Identifier
1568598175
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4901002541 Issued in MI
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DG002541OtherCOMMERCIAL-COMMERCIAL NUMBER
DG002541OtherCHAMPUS-CHAMPUS
271945894MedicaidMI
900H263870OtherBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000540 MI Practitioner - Optometry 0648350264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
77.22
Promoting interoperability
100
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Feb 14, 2024 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Feb 14, 2024 Accepting new patients
Pcor LLC Optometrist CurrentSince Jun 22, 2015 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jun 22, 2015 Accepting new patients
Michigan Eyecare Institute, P.C. Optometrist Past Accepting new patients
Michigan Eyecare Institute, P.C. PastSince Mar 1, 2004 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

  • Direct secure messaging: dgourwitz12863@direct.hfhs.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.