GARY C. SPENCER O.D., P.C. (NPI# 1124194295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124194295 |
| Entity Type | Organization |
| Organization Name | GARY C. SPENCER O.D., P.C. |
| Other Organization Name | OPTOMETRY WEST |
| Practice Address |
2624 Oxford Cir Ann Arbor MI 48103-2447 |
| Practice Telephone | 7343694833 |
| Mailing Telephone | 7343694833 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | GARY C. SPENCER (PRESIDENT) |
| Authorized Official Telephone | 7343694833 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002683 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0F11250 | 01 |
| MI | BLUE CARE NETWORK | 900F165210 | 01 |
| MI | BCBS | 71020000F16521 | 01 |
| Other Name | Type Code |
|---|---|
| Optometry West | Doing Business As Name - Organization |
| Street Address |
2624 OXFORD CIR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457894073 | Rx Optical Laboratories, Inc | Optometrist | 3275 Washtenaw Ave, Ann Arbor, MI 48104-4201 | 2016-11-30 |
| 1306235262 | Rx Optical Laboratories, Inc. | Optometrist | 867 W Eisenhower Pkwy, Ann Arbor, MI 48103-6641 | 2015-01-15 |
| 1962810614 | Claire Kosters Peskosky | Optometrist | 3500 Washtenaw Ave, Ann Arbor, MI 48104-5244 | 2014-07-25 |
| 1861809139 | Dana Richter | Optometrist | 1937 Coronada St, Ann Arbor, MI 48103-5013 | 2014-07-17 |
| 1457584328 | Marian Victoria Wardell | Optometrist | 3601 Washtenaw Ave, Suite E, Ann Arbor, MI 48104-5277 | 2009-08-26 |
| 1336349653 | Look Eye Centers LLC | Optometrist | 4900 Washtenaw Ave, Ann Arbor, MI 48108-1414 | 2007-07-24 |
| 1629291661 | See Inc. | Optometrist | 308 S State St, Ann Arbor, MI 48104-2412 | 2007-04-10 |
| 1346380185 | Thomas Barker Roth | Optometrist | 2500 Packard Rd, Ste #103, Ann Arbor, MI 48104-6827 | 2007-02-08 |
| 1194865063 | Jean Christenson | Optometrist | 2555 Jackson Ave, Ann Arbor, MI 48103-3818 | 2007-02-08 |
| 1164590303 | Arnold Bulos | Optometrist | 856 Briarwood Cir, Briarwood Mall, Ann Arbor, MI 48108-1616 | 2006-12-04 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.