Michael Joseph Skipski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005783 Issued in MI

Practice address

527 W Front St
Traverse City, MI 49684-2207

Phone

(231) 947-8667

NPI assigned

May 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Indiana University - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scarbrough Professional Services, P.C.Group PAC ID 7810046315, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Scarbrough Professional Services, P.C.

  • Optometrist
  • Traverse City, MI
  • NPI 1912176892
  Medicare reassignment Care Compare group NPD
• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment
• SVS Vision Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1366780348
  NPD
• SVS Vision Inc

  • Optometrist
  • Mount Pleasant, MI
  • NPI 1558246942
  NPD
• Reed Optometric, PC

  • Optometrist
  • Traverse City, MI
  • NPI 1497605539
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1104673904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842207",
            "telephone_number": "231-947-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842207",
            "telephone_number": "231-947-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 US 31",
            "address_purpose": "LOCATION",
            "city": "Beulah",
            "state": "MI",
            "postal_code": "496179734",
            "country_code": "US",
            "telephone_number": "231-882-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "882 W Mile Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496469481",
            "country_code": "US",
            "telephone_number": "231-258-9781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIPSKI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Marie Skeba
• Skelly Chiropractic and Wellness PLLC
• Kacey Jo Skelly, DC
• Michael Scott Skelly, DC
• William Ensing Skillman, M.A., L.L.P.
• Nancy L Slabosz, NP
• Stacy N Slade, PA
• Leslie Ellen Sladek
• Jill Slagal, PT
• Jason Dennis Slank, RN

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.