Active NPI
Gerard M Choryan, O.D.
- Optometrist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003337
- Practice address
- 750 E Beltline Ave NE
Grand Rapids, MI 49525-6049 - Phone
- (616) 949-2600
- Fax
- (616) 365-2076
- NPI assigned
- Jun 9, 2005
- Last updated
- Jun 9, 2008
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003337 | MI | Primary |
Addresses
Primary practice location
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Mailing address
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 949-2600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900D16582 | Other | MI | BCBS |
| 2707994 | Medicaid | MI | |
| 410017839 | Other | MI | MEDICARE RR |
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 Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4475 Wilson Ave SW
Grand Rapids Ophthalmology
Grandville, MI 49418-2368
Phone (616) 949-2600
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 949-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.03 of 100
- Quality
- 85.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Vision Eye Care, PC | Current | Accepting new patients | |
| Blue Sky Vision Eye Care, P.C | Optometrist | Current | Accepting new patients |
| Gro Optical, LLC | Past | Accepting new patients | |
| Travel Eyecare PC | Optometrist | Past | Accepting new patients |
| Walker Surgical Center LLC | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
4020 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (866) 418-7215
511 Wilson Ave NW
Grand Rapids, MI 49534
Phone (616) 301-8663
717 Bagley Ave SE
Grand Rapids, MI 49506
Phone (616) 451-0896
750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506
4475 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-0100
705 S Greenville West Dr
Ste 201
Greenville, MI 48838
Phone (616) 754-5667
3235 N Wellness Dr
Ste 130
Holland, MI 49424
Phone (616) 994-9586
537 W Main St
Ionia, MI 48846
Phone (616) 523-1010
80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220
6050 Northland Dr NE
Ste 100
Rockford, MI 49341
Phone (616) 588-6582
3300 Walker Vw NW
Walker, MI 49544
Phone (616) 588-6570
Interoperability endpoints
- gerard.choryan.p1@direct.grophthalmology.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grand Rapids Ophthalmology
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
Optometrist
-
dba Tukel Eye Center
- Ophthalmology Physician
- Dearborn, MI
- NPI 1316675598
-
- Optometrist
- Caledonia, MI
- NPI 1629119805
-
- Ambulatory Surgical Clinic/Center
- Walker, MI
- NPI 1679612253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1629072301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256049",
"telephone_number": "616-949-2600",
"fax_number": "616-365-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256049",
"telephone_number": "616-949-2600",
"fax_number": "616-365-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHORYAN",
"first_name": "GERARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "900D16582",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2707994",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "410017839",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.