Susan Raznik Gormezano, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002466 Issued in MI

Practice address

31350 Telegraph Rd
Ste 102
Bingham Farms, MI 48025-4366

Phone

(248) 593-3670

Fax

(248) 593-4705

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Indiana University - School of Optometry, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgormezano554646@direct.hfhs.org

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.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment Care Compare group NPD
• Low Vision Associates, P.C.

  • Optometrist
  • Bingham Farms, MI
  • NPI 1831293414
  Authorized official Same address or phone
• Henry Ford Health System

  • Optometrist
  • Detroit, MI
  • NPI 1346324688
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Advanced Primary Eyecare P.C.

  • Optometrist
  • Southfield, MI
  • NPI 1225258015
  NPD (past)
• Henry Ford Maplegrove Center

  dba Henry Ford Health System

  • Children's Substance Abuse Rehabilitation Facility
  • West Bloomfield, MI
  • NPI 1295767630
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881797322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "STE 102",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-593-3670",
            "fax_number": "248-593-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "STE 102",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-593-3670",
            "fax_number": "248-593-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMEZANO",
        "first_name": "SUSAN",
        "middle_name": "RAZNIK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imiah Good
• Alora Elizabeth Goodfellow
• Gabrielle Anisse Gore
• Eun Kyung Gorenflo
• Bethany Catherine Gorka, MS
• Hari A Goro
• Jewel Andrea Gorospe
• William Edward Grace
• Janet Gradolph, CRNA
• Andrea Jean Graham

• Optometrist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.