Avesh Raghunandan, O.D., PHD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004409 Issued in MI

Practice address

1310 Cramer Cir
Pennock 506
Big Rapids, MI 49307-2736

Phone

(231) 591-2222

Fax

(231) 591-3991

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

University of Houston - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferris State University 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Ferris State University

  • Optometrist
  • Big Rapids, MI
  • NPI 1871510859

  MI

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043399306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CRAMER CIR",
            "address_2": "PENNOCK 506",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072736",
            "telephone_number": "231-591-2222",
            "fax_number": "231-591-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CRAMER CIR",
            "address_2": "PENNOCK 506",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072736",
            "telephone_number": "231-591-2222",
            "fax_number": "231-591-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUNANDAN",
        "first_name": "AVESH",
        "name_prefix": "Dr.",
        "credential": "O.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne Leigh Prentiss, LMSW, ACSW
• Jordan Michael Price, FNP-BC
• Lisa Marie Price, D.O.
• Professional Dental Associates PC
• Dawn Renee Pullen, RPH
• Vandana Rajaram, O.D. PHD
• Stephanie S Ramdass, OD
• William Charles Ramer III, DO
• Chelsea Leann Ranjel, MHA, AT, ATC
• Sushila S Rao

• All providers in Big Rapids, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.