Individual provider Active NPI

Joyce Takahashi, OD

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1114901360
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003036 Issued in MI
Practice address
955 W Eisenhower Cir
Suite F
Ann Arbor, MI 48103-5868
Phone
(734) 332-8840
Fax
(734) 332-8841
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2129 FL
Optometrist 152W00000X 4901003036 MI Primary

Addresses

Primary practice location

955 W Eisenhower Cir
Suite F
Ann Arbor, MI 48103-5868

Mailing address

955 W Eisenhower Cir
Suite F
Ann Arbor, MI 48103-5868
Phone (734) 332-8840

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
I20041019001400 MI Practitioner - Optometry 9234124215 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2129FLMDOptometrist
4901003036MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Vision Care, PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Marston Optometry, P.C. Optometrist Past Accepting new patients
SFC Vision, PLLC Optometrist PastSince Jan 24, 2014 Accepting new patients

Locations

955 W Eisenhower Cir
Ste F
Ann Arbor, MI 48103
Phone (734) 332-8840

Organizations & group practices 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1114901360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W EISENHOWER CIR",
            "address_2": "SUITE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035868",
            "telephone_number": "734-332-8840",
            "fax_number": "734-332-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W EISENHOWER CIR",
            "address_2": "SUITE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035868",
            "telephone_number": "734-332-8840",
            "fax_number": "734-332-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2129",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.