E Gay Eye Care PLLC
Organization Active NPI Optometrist · Commerce Township, MI
NPI 1730600602 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1730600602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901005051 (MI)
- Legal business name
- E GAY EYE CARE PLLC
- Practice address
- 3050 Union Lake Rd Ste 3B
Commerce Township, MI 48382-4563 - Phone
- (248) 716-3130
- NPI assigned
- Jun 30, 2017
- Organization subpart
- No
Authorized official
- Name
- Edwin Gay, OD
- Title
- Optometrist
- Phone
- (313) 433-3037
Practitioners 7
-
Michael Wallace, O.D.
-
Edwin Gay, OD
-
Silva Hamade, OD
-
Debra E Bourdeau, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171025001441 | MI | Part B Supplier - Clinic/Group Practice | 5698041317 |
Receives reassigned benefits from 5 practitioners Practice locations: Commerce Township, MI; Dearborn, MI; Livonia, MI; Warren, MI |
National Provider Directory
Locations
2669 Union Lake Rd
Commerce Township, MI 48382
Phone (248) 360-4300
3050 Union Lake Rd
Ste 3B
Commerce Twp, MI 48382
Phone (248) 360-4300
37673 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4441
3824 E 13 Mile Rd
Warren, MI 48092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4901005051 | MI | Yes |
Addresses
Primary practice location
3050 Union Lake Rd Ste 3B
Commerce Township, MI 48382-4563
Mailing address
3050 Union Lake Rd Ste 3B
Commerce Township, MI 48382-4563
Phone (248) 716-3130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI1465109 | Medicaid | MI |
Other names
- Acuity Optics and Medical Eyecare
Other providers in Commerce Township, MI
- Megan Patricia Doulette
- Dr. Mark Kendall, D.C., P.C.
- Dr. Mary C. Milostan D C P C
- Dream Dental Sleep Institute PC
- Amanda Lynn Durand
- E3 Michigan
- William Charles Easton
- Kamran Ebadi
- Julie Ebbing-Lines
- Michelle L Eccles -Major
All providers in Commerce Township, MI · Optometrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.