| Dr David A Gourwitz, OD | |
|
Henry Ford Ophthalmology - Grosse Pointe Park, 15401 E. Jefferson Ave., Grosse Pointe Park, MI 48230 | |
| (313) 824-9359 | |
| Not Available |
| Full Name | Dr David A Gourwitz |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | Henry Ford Ophthalmology - Grosse Pointe Park, Grosse Pointe Park, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568598175 | NPI | - | NPPES |
| 271945894 | Medicaid | MI | |
| 900H263870 | Other | BLUE CROSS-BLUE CROSS | |
| DG002541 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| DG002541 | Other | CHAMPUS-CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 4901002541 (Michigan) | Primary |
| Provider Name | P-cor Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720033343 PECOS PAC ID: 9931194149 Enrollment ID: O20040417000048 |
| Provider Name | Svs Vision Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20090427000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Gourwitz, OD Henry Ford Hospital - Grosse Pointe Ophthalmology, 15401 E. Jefferson Ave., Grosse Pointe Park, MI 48230 Ph: (313) 824-9359 | Dr David A Gourwitz, OD Henry Ford Ophthalmology - Grosse Pointe Park, 15401 E. Jefferson Ave., Grosse Pointe Park, MI 48230 Ph: (313) 824-9359 |
Eye Works Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 816 Harcourt Rd, Grosse Pointe Park, MI 48230 Phone: 313-410-9834 | |
Village Optical Inc Optometrist Medicare: Medicare Enrolled Practice Location: 16841 Kercheval Pl, Grosse Pointe Park, MI 48230 Phone: 313-885-5400 | |
Dr. Michael Lowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16841 Kercheval Pl, Grosse Pointe Park, MI 48230 Phone: 313-885-5400 Fax: 313-885-2893 |