Individual provider Active NPI

Andrew Marcell, OD

  • Optometrist
  • Clinton Township, MI
National Provider Identifier
1073197745
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005533 Issued in MI
Practice address
35776 Harper Ave
Clinton Township, MI 48035-3212
Phone
(586) 792-3891
NPI assigned
May 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005533 MI Primary

Addresses

Primary practice location

35776 Harper Ave
Clinton Township, MI 48035-3212

Mailing address

29900 Meridian PL Apt 22203
Farmington Hills, MI 48331-5877
Phone (906) 284-1011

Other practice location 1

44000 W 12 Mile Rd Ste 11
Novi, MI 48377-2644
Phone (586) 792-3891

Other practice location 2

1800 N Milford Rd Ste 300
Milford, MI 48381-1047
Phone (586) 792-3891

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
I20210624001527 MI Practitioner - Optometry 8325449663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curio Eyecare, PLLCGroup PAC ID 0648676965, 2 clinicians
Lake Lazer Eye Center PCGroup PAC ID 2264535152, 3 clinicians

Practice addresses (Care Compare)

147 E Grand River Ave
Williamston, MI 48895-1449
Phone (517) 273-1924

35776 Harper Ave
Clinton Township, MI 48035-3212
Phone (586) 792-3891

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
88.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curio Eyecare PLLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Lake Lazer Eye Center PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

35776 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-3891

1800 N Milford Rd
Ste 300
Milford, MI 48381
Phone (586) 792-3891

44000 W Twelve Mile Rd
Ste 112
Novi, MI 48377
Phone (586) 792-3891

25811 W 12 Mile Rd
Ste 100
Southfield, MI 48034
Phone (248) 358-5830

147 E Grand River Ave
Williamston, MI 48895
Phone (517) 273-1924

Organizations & group practices 2

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1073197745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29900 MERIDIAN PL APT 22203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315877",
            "telephone_number": "906-284-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35776 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353212",
            "telephone_number": "586-792-3891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44000 W 12 Mile Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772644",
            "country_code": "US",
            "telephone_number": "586-792-3891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Milford Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MI",
            "postal_code": "483811047",
            "country_code": "US",
            "telephone_number": "586-792-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELL",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-11-09",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.