Organization Active NPI

Mary H Espy OD PC

  • Optometrist
  • Flint, MI
National Provider Identifier
1972816023
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003627 Issued in MI
Legal business name
MARY H ESPY OD PC
Doing business as
Deltavision Optical Center
Practice address
G3541 Miller Rd
Flint, MI 48507-1235
Phone
(810) 732-8610
Fax
(810) 732-6831
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mary H Espy, ODNPI 1538130703
Title
President
Phone
(810) 814-5527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003627 MI Primary

Addresses

Primary practice location

G3541 Miller Rd
Flint, MI 48507-1235

Mailing address

2325 Swans CV
Fenton, MI 48430-3006
Phone (810) 814-5527

Other practice location 1

12770 S Saginaw St
Grand Blanc, MI 48439-1831
Phone (810) 695-3500

Other identifiers 4

IdentifierTypeStateIssuer
0B505850OtherMIBCBS
11839337OtherCAQH
4445165MedicaidMI
P60754OtherBLUE CARE NETWORK

Other names 1

  • Deltavision Optical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000058 MI Part B Supplier - Clinic/Group Practice 1951598077 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1972816023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 SWANS CV",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303006",
            "telephone_number": "810-814-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3541 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071235",
            "telephone_number": "810-732-8610",
            "fax_number": "810-732-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12770 S Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391831",
            "country_code": "US",
            "telephone_number": "810-695-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY H ESPY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2025-09-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "ESPY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-814-5527",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B505850",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11839337",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4445165",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P60754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deltavision Optical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deltavision Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.