Active NPI
Jodie Elizabeth Gordon, O.D.
- Optometrist
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004268
- Practice address
- 13301 Hall Rd
Shelby Township, MI 48315-5835 - Phone
- (810) 726-0290
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 4901004268 | MI | Primary |
Addresses
Primary practice location
13301 Hall Rd
Shelby Township, MI 48315-5835
Mailing address
13301 Hall Rd
Shelby TWP, MI 48315-5835
Phone (586) 726-9257
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone (517) 337-1668
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.34 of 100
- Quality
- 99.56
- Improvement activities
- 40
- Cost
- 80.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.72 of 100
- Quality
- 93.87
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 77.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lansing Ophthalmology, P.C. | Optometrist | Current | Accepting new patients |
| Lansing Ophthalmology, P.C. | Optometrist | Current | Accepting new patients |
| Lansing Ophthalmology, PC | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015
Phone (269) 979-6383
2001 Coolidge Rd
East Lansing, MI 48823
Phone (517) 337-0316
2001 Coolidge Rd
#L
East Lansing, MI 48823
Phone (517) 337-1668
1005 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837
1005 Charlevoix Dr
Ste 200
Grand Ledge, MI 48837
Phone (517) 627-3030
2790 W Grand River Ave
Ste 200
Howell, MI 48843
Phone (517) 548-3382
1535 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 772-3339
1535 E Broomfield St
Ste A
Mt Pleasant, MI 48858
Phone (517) 772-3339
5100 Marsh Rd
Ste H
Okemos, MI 48864
Phone (517) 349-0150
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jodie.gordon.p1@direct.lansingophthalmology.nextgenshare.com
Organizations & group practices 4
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.
-
dba LO Eye Care
- Ophthalmology Physician
- East Lansing, MI
- NPI 1962485342
Optometrist
-
dba LO Eye Care
- Ophthalmology Physician
- Lansing, MI
- NPI 1063544484
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962559203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 HALL RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483155835",
"telephone_number": "586-726-9257",
"fax_number": "586-726-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 HALL RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155835",
"telephone_number": "810-726-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JODIE",
"middle_name": "ELIZABETH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- 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.