Active NPI
Jamie Marie Shay, OD
- Optometrist
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004495
- Practice address
- 1515 Lake Lansing Rd Ste H
Lansing, MI 48912-3752 - Phone
- (517) 487-6511
- Fax
- (517) 487-1331
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004495 | MI | Primary |
Addresses
Primary practice location
1515 Lake Lansing Rd Ste H
Lansing, MI 48912-3752
Mailing address
850 W North St Ste 104
Jackson, MI 49202-3196
Phone (517) 841-3027
Other practice location 1
1116 W Ganson St
Jackson, MI 49202-4240
Phone (517) 782-9436
Other names 1
- Jamie Marie Harris
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091119000124 | MI | Practitioner - Optometry | 1254479801 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Michigan College of Medicine and Surgery, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid Michigan Eye Care Center PC
Practice addresses (Care Compare)
363 Fremont St
Suite 301
Battle Creek, MI 49017-3391
Phone (616) 964-3018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004495 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Michigan Eye Care Center, PC | Optometrist | Current | Accepting new patients |
| Mattawan Family Eye Care PLC | Optometrist | Past | Accepting new patients |
| TLC Laser Center of Lansing, LLC | Past | Accepting new patients |
Locations
363 Fremont St
Ste 301
Battle Creek, MI 49017
Phone (616) 964-3018
850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790
1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436
1515 Lake Lansing Rd
Ste H
Lansing, MI 48912
Phone (517) 487-6511
52883 N Main St
Mattawan, MI 49071
Phone (269) 668-5558
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Mattawan, MI
- NPI 1538940010
-
- Clinic/Center
- Lansing, MI
- NPI 1285848473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1003063306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W NORTH ST STE 104",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023196",
"telephone_number": "517-841-3027",
"fax_number": "517-817-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 LAKE LANSING RD STE H",
"city": "LANSING",
"state": "MI",
"postal_code": "489123752",
"telephone_number": "517-487-6511",
"fax_number": "517-487-1331"
}
],
"practiceLocations": [
{
"address_1": "1116 W Ganson St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492024240",
"country_code": "US",
"telephone_number": "517-782-9436",
"fax_number": "517-782-5166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAY",
"first_name": "JAMIE",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "HARRIS",
"middle_name": "MARIE",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.