Individual provider Active NPI

Emily Grace Magas

  • Optometrist
  • Livonia, MI
National Provider Identifier
1578311585
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005934 Issued in MI
Practice address
29200 Schoolcraft Rd Ste 5
Livonia, MI 48150-2228
Phone
(734) 523-8640
Fax
(313) 916-2020
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007262 OH
Optometrist 152W00000X 4901005934 MI Primary

Addresses

Primary practice location

29200 Schoolcraft Rd Ste 5
Livonia, MI 48150-2228

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 999-5829

Other practice location 1

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240619002019 OH Practitioner - Optometry 6002359957 Reassigns benefits to 2 organizations
I20260615000302 MI Practitioner - Optometry 6002359957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio State UniversityGroup PAC ID 6103866207, 42 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 523-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005934MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State University Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Ohio State University CurrentSince Jun 10, 2024 Accepting new patients
Lutheran Social Services of Central Ohio Inc CurrentSince Sep 4, 2025 Accepting new patients
Lutheran Social Services of Central Ohio, Inc CurrentSince Sep 4, 2025 Accepting new patients

Locations

245 N Grant Ave
Columbus, OH 43215
Phone (614) 224-6617

2225 N Cassady Ave
Columbus, OH 43219
Phone (614) 224-7200

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

1800 Zollinger Rd
Ste 1500
Upper Arlington, OH 43221
Phone (614) 366-3937

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1578311585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "800-999-5829",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29200 SCHOOLCRAFT RD STE 5",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502228",
            "telephone_number": "734-523-8640",
            "fax_number": "313-916-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 Neil Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012333",
            "country_code": "US",
            "telephone_number": "614-292-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGAS",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007262",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.