Jeffrey J Fitzmaurice, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003868 Issued in MI

Practice address

51242 Westwood Dr
Macomb, MI 48042-4286

Phone

(586) 350-3141

NPI assigned

Jul 10, 2006

Last updated

Oct 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Ferris State College - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westside Eye Care, PC

  dba Marshall Eye Care

  • Optometrist
  • Marshall, MI
  • NPI 1982009601
  Medicare reassignment NPD Authorized official
• Modern Eyes PLLC

  • Optometrist
  • Macomb, MI
  • NPI 1700817376
  Authorized official Same address or phone

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1033143433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51242 WESTWOOD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424286",
            "telephone_number": "586-350-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51242 WESTWOOD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424286",
            "telephone_number": "586-350-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZMAURICE",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E02492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Felton
• Anne Marie Ferrari, LLMSW
• Margareta Fiorvento, LLPC
• Firstplan Maternal Infant Services, LLC
• John Fischer
• Lynn Fonacier
• Erick Fountain, PT
• Mary Paige Fournier
• Sharon Fowler, MD
• Jennifer Frank

• Optometrist in Macomb, MI
• Providers in Macomb, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.