Michael Dewit, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003973 Issued in MI

Practice address

13197 State Road 23
Granger, IN 46530

Phone

(812) 855-8436

Fax

(812) 855-1683

NPI assigned

Jun 16, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, OH, MI3 enrollments

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 3

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Merit-based Incentive Payment System (MIPS)

Final score

75.03 of 100Reported as group

Quality

85.46

Promoting interoperability

100

Improvement activities

40

Cost

31.32

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: michael.dewit.d1.p1@direct.grophthalmology.nextgenshare.com

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.

• Blue Sky Vision Eye Care, P.C

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, P.C.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535

  IN

  Medicare reassignment NPD
• Midwest Eye Consultants Ohio, Inc

  • Optometrist
  • Oregon, OH
  • NPI 1932569100

  OH, Optometrist

  Medicare reassignment NPD
• Blue Sky Vision Eye Care, PC

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  Care Compare group NPD
• Blue Sky Vision Eye Care, P.C

  • Ophthalmology Physician
  • Ypsilanti, MI
  • NPI 1922735752
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Granger, IN
  • NPI 1861882797
  NPD
• Midwest Eye Consultants Ohio, Inc

  • Optometrist
  • Coventry Township, OH
  • NPI 1619790185
  NPD
• Midwest Eye Consultants Ohio, Inc

  • Optometrist
  • Maumee, OH
  • NPI 1659731818
  NPD
• Indiana University

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  NPD (past)
• Midwest Eye Consultants P.C.

  • Optometrist
  • Crown Point, IN
  • NPI 1134641202
  NPD (past)
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)
• Midwest Eye Consultants, P.C.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1366199192

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1124478581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N CASS ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921613",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13197 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Walker Vw NW",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "MI",
            "postal_code": "495449139",
            "country_code": "US",
            "telephone_number": "616-949-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWIT",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "18003973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201367130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver James Davis Jr., MSW, LCSW, LMSW
• Travis Van Deaton
• Anna K Detlefsen, LCSW
• Gabriel Detweiler
• Sharon E Devinney, PH.D., HSPP
• Julie Batuk Dharia, OD
• Diabetes Association of St Joseph County Inc
• Michelle Dies, PHARM D
• Woganee Mimi Dires, PHARMD
• Mary Ann R Domingo, M.D.

• All providers in Granger, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.