Individual provider Active NPI

Jodie Elizabeth Gordon, O.D.

  • Optometrist
  • Shelby Township, MI
National Provider Identifier
1962559203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004268 Issued in MI
Practice address
13301 Hall Rd
Shelby Township, MI 48315-5835
Phone
(810) 726-0290
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000564 MI Practitioner - Optometry 3577660679 Reassigns benefits to 1 organization

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
Lansing Ophthalmology, PCGroup PAC ID 9335041409, 25 clinicians

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 100Reported as group
Quality
99.56
Improvement activities
40
Cost
80.87

Merit-based Incentive Payment System (MIPS)

Final score
87.72 of 100Reported as group
Quality
93.87
Promoting interoperability
85
Improvement activities
40
Cost
77.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Ophthalmology, P.C. Optometrist CurrentSince May 30, 2024 Accepting new patients
Lansing Ophthalmology, P.C. Optometrist CurrentSince May 30, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.