Active NPI
Gary S Yee, OD
- Optometrist
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003691
- Practice address
- 2884 Washtenaw Rd
Ypsilanti, MI 48197-1507 - Phone
- (734) 572-8822
- Fax
- (734) 572-9194
- NPI assigned
- Jan 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 4901003691 | MI | |
| Optometrist | 152W00000X | 4901003691 | MI | Primary |
Addresses
Primary practice location
2884 Washtenaw Rd
Ypsilanti, MI 48197-1507
Mailing address
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 944500276 | Medicaid | MI |
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7612
455 E Grand River Ave
Brighton, MI 48116-1551
Phone (810) 227-2376
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| Pearle Vision Inc | Optometrist | Past | Accepting new patients |
| Pearle Vision Inc | Past | Accepting new patients |
Locations
455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376
118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479
140 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 464-1479
2884 Washtenaw Rd
Ypsilanti, MI 48197
Phone (734) 572-8822
Organizations & group practices 4
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.
-
- Optometrist
- Mount Clemens, MI
- NPI 1194879023
-
- Optometrist
- Mount Pleasant, MI
- NPI 1558246942
-
- Optometrist
- New Hudson, MI
- NPI 1891840682
-
- Eyewear Supplier
- Fairview Heights, IL
- NPI 1982744033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1811043938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CASS AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432204",
"telephone_number": "586-468-7370",
"fax_number": "586-464-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2884 WASHTENAW RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971507",
"telephone_number": "734-572-8822",
"fax_number": "734-572-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEE",
"first_name": "GARY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "MI",
"license": "4901003691",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "944500276",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.