Active NPI
Deb Giaseman
- Optician
- Lake Odessa, MI
National Provider Identifier
1093737652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 1170 Jordan Lake St
Lake Odessa, MI 48849-1212 - Phone
- (616) 374-3284
- Fax
- (616) 374-2020
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1170 Jordan Lake St
Lake Odessa, MI 48849-1212
Mailing address
1170 Jordan Lake St
Lake Odessa, MI 48849-1212
Phone (616) 374-3284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164718 | Other | MI | ABOC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093737652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 JORDAN LAKE ST",
"city": "LAKE ODESSA",
"state": "MI",
"postal_code": "488491212",
"telephone_number": "616-374-3284",
"fax_number": "616-374-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 JORDAN LAKE ST",
"city": "LAKE ODESSA",
"state": "MI",
"postal_code": "488491212",
"telephone_number": "616-374-3284",
"fax_number": "616-374-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIASEMAN",
"first_name": "DEB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABOC",
"identifier": "164718",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Odessa, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.