Individual provider Active NPI

Clint Douglas Simpson, M.D.

  • Ophthalmology Physician
  • Lansing, MI
National Provider Identifier
1053553719
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301094332 Issued in MI
Practice address
1515 Lake Lansing Rd Ste H
Lansing, MI 48912-3752
Phone
(517) 487-6511
Fax
(517) 487-3415
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 4301094332 MI Primary

Addresses

Primary practice location

1515 Lake Lansing Rd Ste H
Lansing, MI 48912-3752

Mailing address

850 W North St Ste 104
Jackson, MI 49202-3196
Phone (877) 852-8463

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008000124 MI Practitioner - Ophthalmology 3870727829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians

Practice addresses (Care Compare)

1116 W Ganson St
Jackson, MI 49202-4240
Phone (517) 782-9436

1600 Commerce Park Dr
Suite 100
Chelsea, MI 48118-1620
Phone (734) 475-7359

363 Fremont St
Suite 301
Battle Creek, MI 49017-3391
Phone (616) 964-3018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
TLC Laser Center of Lansing, LLC Past Accepting new patients

Locations

2350 E Stadium Blvd
Ste 10
Ann Arbor, MI 48104
Phone (734) 404-7600

2518 Capital Ave SW
Battle Creek, MI 49015

1600 Commerce Park Dr
Ste 100
Chelsea, MI 48118
Phone (734) 475-7359

7397 E Saginaw St
East Lansing, MI 48823
Phone (517) 879-6663

1761 W M 43 Hwy
Ste 1
Hastings, MI 49058
Phone (269) 945-3888

1761 W M 43 Hwy
Hastings, MI 49058
Phone (269) 945-3888

1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436

2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906

850 W North St
Ste 100
Jackson, MI 49202
Phone (517) 290-5298

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1515 Lake Lansing Rd
Ste H
Lansing, MI 48912
Phone (517) 487-6511

3390 E Jolly Rd
Lansing, MI 48910
Phone (517) 393-2020

812 Bradley St
Owosso, MI 48867
Phone (989) 725-8171

Organizations & group practices 4

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1053553719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "877-852-8463",
            "fax_number": "517-817-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD STE H",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123752",
            "telephone_number": "517-487-6511",
            "fax_number": "517-487-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CLINT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301094332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.