Gregory Laurence Livingston, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004716 Issued in MI

Practice address

10501 S. Riva Ridge
Fort Drum, NY 13602

Phone

(315) 772-2234

Fax

(315) 772-0700

NPI assigned

Jul 19, 2012

Last updated

Jul 19, 2012By 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

Enrolled in MI

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 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lapeer County Eye Associates IncGroup PAC ID 6103807169, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lapeer County Eye Associates Inc

  • Optometrist
  • Lapeer, MI
  • NPI 1235311200
  Medicare reassignment Care Compare group NPD
• Thumb Area Eye Associates

  dba Lapeer County Vision Center

  • Optometrist
  • Lapeer, MI
  • NPI 1861320889
  NPD

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1851646525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 S. RIVA RIDGE",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-2234",
            "fax_number": "315-772-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 S. RIVA RIDGE",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-2234",
            "fax_number": "315-772-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "GREGORY",
        "middle_name": "LAURENCE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Mark Letko, DO
• William Lewis, DO
• Kyle Libby, DMD
• Shana Hensley Lilley, DPT
• Jennifer Nycole Lively-Pagliuca, LCSW, CADC
• Mario Lopez, DENTAL ASSISTANT X2
• Mildred Rodriguez Lopez, BSN, RN, IBCLC
• Ronald Lovich, D.O.
• Jonathan P Ludlow, OD
• Michelle Luken, BS/MS, OTR/L

• Optometrist in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.

Verify at the official NPI Registry.