Individual provider Active NPI

Daniel Flick, O.D

  • Optometrist
  • Sterling Heights, MI
National Provider Identifier
1053336198
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
L731095 Issued in MI
Practice address
43910 Schoenherr Rd
Sterling Heights, MI 48313-1120
Phone
(586) 247-5910
Fax
(586) 247-5920
NPI assigned
Jul 12, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X L731095 MI Primary

Addresses

Primary practice location

43910 Schoenherr Rd
Sterling Heights, MI 48313-1120

Mailing address

655 W 13 Mile Rd
Madison Heights, MI 48071-1844
Phone (248) 577-3659

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
I20120326000520 MI Practitioner - Optometry 5496915670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L731095MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Jan 1, 1997 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jan 1, 1997 Accepting new patients
P-Cor LLC Optometrist Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

655 W 13 Mile Rd
Madison Hts, MI 48071
Phone (248) 577-3616

43910 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

  • Direct secure messaging: dflick12750@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1053336198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711844",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43910 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131120",
            "telephone_number": "586-247-5910",
            "fax_number": "586-247-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L731095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.