Individual provider Active NPI

Jamie Marie Shay, OD

  • Optometrist
  • Lansing, MI
National Provider Identifier
1003063306
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004495 Issued in MI
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

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 31 clinicians

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

LicenseStateTypeSpecialty
4901004495MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Optometrist CurrentSince Sep 12, 2009 Accepting new patients
Mattawan Family Eye Care PLC Optometrist PastSince Oct 15, 2023 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.

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

Verify at the official NPI Registry.