Individual provider Active NPI

Stacey A Alarie, O.D.

  • Optometrist
  • Grand Blanc, MI
National Provider Identifier
1124111950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003658 Issued in MI
Practice address
11225 S Saginaw St
Grand Blanc, MI 48439-1285
Phone
(810) 694-3937
Fax
(810) 694-9876
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003658 MI Primary

Addresses

Primary practice location

11225 S Saginaw St
Grand Blanc, MI 48439-1285

Mailing address

11225 S Saginaw St
Grand Blanc, MI 48439-1285
Phone (810) 694-3937

Other identifiers 3

IdentifierTypeStateIssuer
0994209OtherMIHEALTHPLUS OF MICHIGAN
11147OtherM-CARE
1006992OtherMCLAREN HEALTH PLAN

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
I20050503001038 MI Practitioner - Optometry 1153361779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Blanc Eyes PLLC 5 clinicians

Practice addresses (Care Compare)

11225 S Saginaw St
Grand Blanc, MI 48439-1285
Phone (810) 694-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003658MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Blanc Eyes PLLC Optometrist CurrentSince Feb 10, 2003 Accepting new patients
Complete Chiropractic Care, Inc CurrentSince Feb 15, 2011 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Locations

11225 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 694-3937

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124111950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391285",
            "telephone_number": "810-694-3937",
            "fax_number": "810-694-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391285",
            "telephone_number": "810-694-3937",
            "fax_number": "810-694-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARIE",
        "first_name": "STACEY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0994209",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "11147",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1006992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.