Gerald J Blazius, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003177 Issued in MI

Practice address

22561 Gratiot Ave
Eastpointe, MI 48021-2360

Phone

(586) 775-6733

NPI assigned

Dec 13, 2006

Last updated

Dec 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Normandy Optical North, PLLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1821320250
  Authorized official Same address or phone

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1790846558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47252 GRAND CYPRESS CT",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443025",
            "telephone_number": "586-775-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22561 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212360",
            "telephone_number": "586-775-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZIUS",
        "first_name": "GERALD",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve Susan Bend, DC
• Nikita Denise Benion Smith
• Gary G Bill, MD
• Binson's Hospital Supplies, Inc. (Binson's Home Health Care Centers)
• Binson's Hospital Supplies, Inc. (Binson's Home Health Care Centers)
• Blessed Hands Limited Liability Company
• Pamela Boan
• Marcheline Bolden
• Patricia Phillip Bologna, M.ED, LPC
• Bon Secours Home Medical Inc (Binson's Home Health Care Centers)

• Optometrist in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.