Individual provider Active NPI

Michael McLaughlin, OD

  • Optometrist
  • Brighton, MI
National Provider Identifier
1013210343
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004534 Issued in MI
Practice address
6700 Whitmore Lake Rd
Brighton, MI 48116-2160
Phone
(810) 220-8950
Fax
(810) 220-8979
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004534 MI Primary

Addresses

Primary practice location

6700 Whitmore Lake Rd
Brighton, MI 48116-2160

Mailing address

6700 Whitmore Lake Rd
Brighton, MI 48116-2160

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
I20230611000067 MI Practitioner - Optometry 0143687855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fortney Eyecare Associates Inc Optometrist CurrentSince Jun 7, 2023 Accepting new patients

Locations

23469 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-5600

Organizations & group practices 1

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1013210343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162160",
            "telephone_number": "810-220-8950",
            "fax_number": "810-220-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.