Stadium Opticians Inc
A Medicare group practice based in Ann Arbor, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6103815204), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6103815204
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040512000179 | MI | Part B Supplier - Clinic/Group Practice | 1245384544 |
| O20100930025458 | MI | DME Supplier - Physician - Optometrist | 1851443766 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Stadium Opticians, Inc.
- Optometrist
- Ann Arbor, MI
- NPI 1245384544
-
Stadium Opticians, Inc.
- Optician
- Ann Arbor, MI
- NPI 1851443766
Practice locations
- Ann Arbor, MI2
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Cole William Jordan, OD
- Optometrist
- Detroit, MI
- NPI 1851082309
-
Olivia Michelle Marineau, OD
- Optometrist
- Canton, MI
- NPI 1275159246
-
Brian Eric Pierce, OD
- Optometrist
- Canton, MI
- NPI 1699830646
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.