Richard J Neuenfeldt Odpc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RICHARD J NEUENFELDT ODPC

Doing business as

Neuenfeldt Family Eyecare

Practice address

12830 S Saginaw St
Suite C
Grand Blanc, MI 48439-2415

Phone

(810) 695-3500

Fax

(810) 695-3502

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Neuenfeldt, O.D.NPI 1104867209

Title

President

Phone

(810) 695-3500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Neuenfeldt Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Richard James Neuenfeldt, O.D.

  • Optometrist
  • Grand Blanc, MI
  • NPI 1104867209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1063686343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 S SAGINAW ST",
            "address_2": "SUITE C",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392415",
            "telephone_number": "810-695-3500",
            "fax_number": "810-695-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 S SAGINAW ST",
            "address_2": "SUITE C",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392415",
            "telephone_number": "810-695-3500",
            "fax_number": "810-695-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J NEUENFELDT ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "NEUENFELDT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-695-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900B565970",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0996169",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuenfeldt Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Rae Reynolds, LMSW
• Kristen Elizabeth Reynolds
• Elizabeth Margaret Rhind, M.ED, BCBA
• Kyle Douglas Rhind, MD
• Michelle Carole Rice, RN
• Ashley Marie Richardson, D.O.
• Kyle Richter, PA
• Joslynn Ridley
• Sara Rietsch, MS, LPC, CAADC
• Mark Rigby, DO

• Optometrist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.