Organization Active NPI

Ogemaw Eye Institute PC

  • Ophthalmology Physician
  • West Branch, MI
National Provider Identifier
1114561727
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OGEMAW EYE INSTITUTE PC
Practice address
559 Progress St Ste E
West Branch, MI 48661-9399
Phone
(989) 345-8113
Fax
(989) 345-3687
NPI assigned
Nov 6, 2019
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. Daryl Zelenak, DONPI 1962419267
Title
DO/Owner
Phone
(989) 345-8113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

559 Progress St Ste E
West Branch, MI 48661-9399

Mailing address

559 Progress St
West Branch, MI 48661-9399
Phone (989) 345-8113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200122001621 MI Part B Supplier - Clinic/Group Practice 2961837984 Receives reassigned benefits from 3 practitioners
Practice locations: West Branch, MI
O20210412000888 MI DME Supplier - Physician - OptometristDME Supplier - Optician 2961837984 Practice locations: West Branch, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ogemaw Eye Institute PC559 Progress St, West Branch, MI 48661-9399(989) 345-8113 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Nov 9, 2019

National Provider Directory

National Provider Directory

Locations

559 Progress St
Ste D
West Branch, MI 48661

559 Progress St
Ste E
West Branch, MI 48661
Phone (586) 243-7200

565 Progress St
West Branch, MI 48661
Phone (989) 667-6650

Interoperability endpoints

  • Direct secure messaging: cmalcolm@ogemaweyeinstitute.intellechartdirect.net
  • Direct secure messaging: jzelenak@ogemaweyeinstitute.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1114561727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619399",
            "telephone_number": "989-345-8113",
            "fax_number": "989-345-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 PROGRESS ST STE E",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619399",
            "telephone_number": "989-345-8113",
            "fax_number": "989-345-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGEMAW EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "ZELENAK",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "989-345-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.