Xanthi Tuchowski, OD
Individual provider Active NPI Optometrist · Madison HTS, MI
NPI 1023064375 · NPPES record last updated Mar 11, 2014
Key facts
- NPI
- 1023064375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- XF004100 (MI)
- Practice address
- 655 W 13 Mile Rd
Madison HTS, MI 48071-1844 - Phone
- (248) 577-3659
- Fax
- (248) 588-9320
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000911 | MI | Practitioner - Optometry | 7113192071 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XF004100 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcor LLC | Optometrist | Current |
Accepting new patients |
| Pcor, LLC | Optometrist | Current |
Accepting new patients |
Locations
655 W 13 Mile Rd
Madison Hts, MI 48071
Phone (248) 577-3616
40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300
43910 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910
44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910
735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300
35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200
Interoperability endpoints
- xtuchowski13234@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | XF004100 | MI | Yes |
Addresses
Primary practice location
655 W 13 Mile Rd
Madison HTS, MI 48071-1844
Mailing address
43910 Schoenherr Rd
Sterling Heights, MI 48313-1120
Phone (586) 248-5910
Other providers in Madison HTS, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.