Individual provider Active NPI

Whitney Genrich, OD

  • Optometrist
  • Owosso, MI
National Provider Identifier
1154735348
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004825 Issued in MI
Practice address
317 S Elm St
Suite 210
Owosso, MI 48867-2636
Phone
(989) 723-1101
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004825 MI Primary

Addresses

Primary practice location

317 S Elm St
Suite 210
Owosso, MI 48867-2636

Mailing address

317 S Elm St
Suite 210
Owosso, MI 48867-2636
Phone (989) 723-1101

Other names 1

  • Whitney Klein 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
I20150702000191 MI Practitioner - Optometry 4183936289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Owosso, P.C.Group PAC ID 5193798593, 3 clinicians

Practice addresses (Care Compare)

317 S Elm St
Suite 210
Owosso, MI 48867-2649
Phone (989) 723-1101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004825MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Owosso, P.C. Optometrist CurrentSince Jun 1, 2015 Accepting new patients

Locations

317 S Elm St
Ste 210
Owosso, MI 48867
Phone (517) 723-1101

Organizations & group practices 1

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1154735348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ELM ST",
            "address_2": "SUITE 210",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672636",
            "telephone_number": "989-723-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S ELM ST",
            "address_2": "SUITE 210",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672636",
            "telephone_number": "989-723-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENRICH",
        "first_name": "WHITNEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "KLEIN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.