Individual provider Active NPI

Edwin Gay, OD

  • Optometrist
  • Livonia, MI
National Provider Identifier
1871022525
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901 Issued in MI
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

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615001508 MI Practitioner - Optometry 8426326414 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jun 10, 2017 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jun 10, 2017 Accepting new patients
Fortney Eyecare Associates Inc Optometrist Past Accepting new patients
Focal Point Optometrics PLLC Optometrist PastSince Oct 1, 2017 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.

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 3 clinicians

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

Verify at the official NPI Registry.