Blue Sky Vision Eye Care, P.C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BLUE SKY VISION EYE CARE, P.C

Practice address

5477 W Clark Rd
Ypsilanti, MI 48197-1102

Phone

(734) 434-6000

Fax

(734) 434-7005

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Pravoot Gira, MDNPI 1861481152

Title

Cmo

Phone

(314) 909-0633

Specialties & licenses 1

Addresses

Other names 1

• Huron Ophthalmology Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Blue Sky Vision Eye Care, P.C

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202

  8820065618

  Same PAC ID
• Blue Sky Vision Eye Care, PC

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598

  8820065618

  Same PAC ID

Tax ID family

Grand Rapids Ophth PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blue Sky Vision Eye Care, PC

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Pravoot Gira, MD

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1861481152

  Ophthalmology

  NPD (past) Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1922735752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971102",
            "telephone_number": "734-434-6000",
            "fax_number": "734-434-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971102",
            "telephone_number": "734-434-6000",
            "fax_number": "734-434-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY VISION EYE CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "314-909-0633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huron Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen C Bloom, D.O.
• Lauara Bloomensaat, RN
• Jennifer Blough, LLPC
• Robert Blowers, PHARMD
• Blue Dove Health LLC
• David Blumenthal, MD
• Jason Boehmer, DO
• Laurel Boelens, FNP DNP
• Joelle Wilson Boeve, M.D.
• David Boeving

• All providers in Ypsilanti, MI
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.