Active NPI
Edwin Gay, OD
- Optometrist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901
- Practice address
- 16128 Middlebelt Rd
Livonia, MI 48154-3338 - Phone
- (734) 421-2844
- Fax
- (734) 421-2878
- NPI assigned
- Jun 7, 2017
- 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 | 4901 | MI | Primary |
Addresses
Primary practice location
16128 Middlebelt Rd
Livonia, MI 48154-3338
Mailing address
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7370
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170615001508 | MI | Practitioner - Optometry | 8426326414 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| Fortney Eyecare Associates Inc | Optometrist | Past | Accepting new patients |
| Focal Point Optometrics PLLC | Optometrist | Past | Accepting new patients |
| Fortney Eyecare Associates Inc | Optometrist | Past | Accepting new patients |
Locations
21427 Grand River Ave
Ste A200
Detroit, MI 48219
Phone (313) 676-4020
16128 Middlebelt Rd
Livonia, MI 48154
Phone (734) 421-2844
118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479
Organizations & group practices 6
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 Pleasant, MI
- NPI 1558246942
-
- Optometrist
- Commerce Township, MI
- NPI 1518112846
-
- Optometrist
- Warren, MI
- NPI 1851429112
-
- Optometrist
- Livonia, MI
- NPI 1942338207
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- E Gay Eye Care PLLC
Practice addresses (Care Compare)
23469 Michigan Ave
Dearborn, MI 48124-1908
Phone (313) 565-5600
2669 Union Lake Rd
Commerce Township, MI 48382-3560
Phone (248) 360-4300
37673 5 Mile Rd
Livonia, MI 48154-1543
Phone (734) 464-4441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1871022525",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16128 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543338",
"telephone_number": "734-421-2844",
"fax_number": "734-421-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "EDWIN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.