Andrew Paul Demeritt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004702 Issued in MI

Practice address

122 N Washington St
Owosso, MI 48867-2827

Phone

(989) 720-2020

Fax

(929) 720-2023

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Ferris State College - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Insight Vision Center LLC

  • Optometrist
  • Owosso, MI
  • NPI 1710322474
  Medicare reassignment NPD Authorized official
• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  NPD (past)
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD (past)
• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1073869293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672827",
            "telephone_number": "989-720-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672827",
            "telephone_number": "989-720-2020",
            "fax_number": "929-720-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERITT",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004702",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901004702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Dean
• Tina Degarmo
• Aliesa Degeer
• Kimberly Ann Dekoski, MOT, OTR/L
• Amy Jean Delaney, NP
• Paul Gerald Demeritt, D.C.
• Rhyse Denton, LLMSW
• Dermatology & Cosmetic Center of Owosso PLLC
• Kevin Deyoung
• Caylyn Mae Dickenson

• Optometrist in Owosso, MI
• Providers in Owosso, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.