Marie Pitko

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARIE PITKO

Practice address

42524 Hayes Rd Ste 300
Clinton TWP, MI 48038-3643

Phone

(586) 228-9740

Fax

(586) 286-1507

NPI assigned

Oct 17, 2006

Organization subpart

No

Name

Marie Pitko, OPTICIANNPI 1750391603

Title

Owner

Phone

(586) 228-9740

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie E. Pitko, OPTICIAN

  • Optician
  • Clinton TWP, MI
  • NPI 1750391603
  NPD (past) Authorized official
• Brian Pitko

  • Optician
  • Clinton Township, MI
  • NPI 1063922722
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033299599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42524 HAYES RD STE 300",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383643",
            "telephone_number": "586-228-9740",
            "fax_number": "586-286-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42524 HAYES RD STE 300",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383643",
            "telephone_number": "586-228-9740",
            "fax_number": "586-286-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE PITKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PITKO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-228-9740",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "540E00320",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862656278",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yusra Mansour
• Demitra Mantzopoulos, PHARMD
• Reveen Maqdasy, MD
• Latoya Marble
• Julie Margitish
• Michael Marion
• Johnathon Toma Markus, M.D.
• Christena R Marshall
• Julie Marie Martel, MPT
• Cristina Marie Martin, MA, LPC

• All providers in Clinton TWP, MI
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.