Individual provider Active NPI

Michael J Duerr, O.D.

  • Optometrist
  • Rochester Hills, MI
National Provider Identifier
1043228281
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003757 Issued in MI
Practice address
375 Barclay Cir
Rochester Hills, MI 48307-4511
Phone
(248) 852-3636
Fax
(248) 852-3631
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003757 MI Primary

Addresses

Primary practice location

375 Barclay Cir
Rochester Hills, MI 48307-4511

Mailing address

PO Box 80070
Rochester, MI 48308-0070
Phone (248) 852-3636

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
I20051104000285 MI Practitioner - Optometry 3173541430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jartll CorpGroup PAC ID 3274639596, 8 clinicians

Practice addresses (Care Compare)

6523 Telegraph Rd
Bloomfield Hills, MI 48301-3066
Phone (248) 593-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003757MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jartll Corp Optometrist Current Accepting new patients
Millman-Derr Optical Macomb, LTD. PastSince Jan 20, 2009 Accepting new patients
Jartll Corp Optometrist Past Accepting new patients

Locations

6523 Telegraph Rd
Bloomfld Hls, MI 48301
Phone (248) 593-9955

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1043228281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80070",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483080070",
            "telephone_number": "248-852-3636",
            "fax_number": "248-852-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074511",
            "telephone_number": "248-852-3636",
            "fax_number": "248-852-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERR",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.