Individual provider Active NPI

Hannah Tear Spiegel, OD

  • Optometrist
  • Wyandotte, MI
National Provider Identifier
1134829732
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005675 Issued in MI
Practice address
100 Oak St
Wyandotte, MI 48192-5134
Phone
(734) 284-2444
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 4901005675 MI Primary

Addresses

Primary practice location

100 Oak St
Wyandotte, MI 48192-5134

Mailing address

100 Oak St
Wyandotte, MI 48192-5134

Other practice location 1

1922 Monroe St
Dearborn, MI 48124-2917
Phone (313) 274-7540

Other names 1

  • Hannah Tear Gaudette Former name

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
I20230807003455 MI Practitioner - Optometry 8325409386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marla J Price DO PLLCGroup PAC ID 3375626492, 5 clinicians

Practice addresses (Care Compare)

100 Oak St
Wyandotte, MI 48192-5134
Phone (734) 284-2444

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as group
Quality
96.99
Improvement activities
40
Cost
77.05

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4901005675MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Marla J Price DO PLLC CurrentSince Sep 1, 2023 Accepting new patients
Blue Sky Vision Eye Care, PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

19335 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-5580

1922 Monroe St
Dearborn, MI 48124
Phone (313) 274-7540

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

100 Oak St
Wyandotte, MI 48192
Phone (734) 284-2444

Interoperability endpoints

  • Direct secure messaging: hannah.gaudette.p1@direct.grophthalmology.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: hannah.gaudette.p1@direct.byrdeyeclinic.nextgenshare.com

Organizations & group practices 3

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1134829732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OAK ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925134",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAK ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925134",
            "telephone_number": "734-284-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242917",
            "country_code": "US",
            "telephone_number": "313-274-7540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "HANNAH",
        "middle_name": "TEAR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "GAUDETTE",
            "middle_name": "TEAR",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.