Michael Steven Breza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003968 Issued in MI

Practice address

42550 Garfield Rd
Ste. 101
Clinton TWP, MI 48038-1644

Phone

(586) 263-9708

Fax

(586) 263-0280

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometry PCGroup PAC ID 3173437118, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Optometry, P.C.

  • Optometrist
  • Clinton TWP, MI
  • NPI 1205863727
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1003974981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD",
            "address_2": "STE. 101",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-9708",
            "fax_number": "586-263-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD",
            "address_2": "STE. 101",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-9708",
            "fax_number": "586-263-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZA",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "OE06315",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003974981",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Borowski
• Timothy Peter Boufford, M.D.
• Brandon R McKenzie DC PLLC
• Anna Brede
• Keith Allen Brennan, D.C.
• Brian G. Loder DPM PLC
• Brian Hadeed DDS PLLC
• Kevin Alexander Brody, MD
• Katie Brogan
• Candace T Brooks

• Optometrist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.

Verify at the official NPI Registry.