Lindsay Marie Labelle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004895 Issued in MI

Practice address

4281 24TH Ave Ste 200
Fort Gratiot, MI 48059-3997

Phone

(810) 385-4000

Fax

(810) 958-7379

NPI assigned

Jul 17, 2015

Sex

Female

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

Other names 1

• Lindsay Marie Goetze Former name

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

Specialty

Optometry

Education

Michigan College of Medicine and Surgery, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kamal Fahim MD PLCGroup PAC ID 5991977019, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Kamal Fahim, M.D., P.L.C.

  • Ophthalmology Physician
  • Fort Gratiot, MI
  • NPI 1265720932
  Medicare reassignment Care Compare group NPD
• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD
• Insight Vision Center LLC

  • Optometrist
  • Owosso, MI
  • NPI 1710322474
  NPD (past)
• Pcor LLC

  • Optometrist
  • Fort Gratiot, MI
  • NPI 1568638914
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1184008252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W. 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 24TH AVE STE 200",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593997",
            "telephone_number": "810-385-4000",
            "fax_number": "810-958-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184008252",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "GOETZE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randy Krieg, RPH
• Kristen Nicole Kronner
• Melissa Dawn Kruse, LMSW/ACSW
• Philomena Kurzawe-Breault, MA, LLP, BCBA
• Sherry Lynn Kurzym, NP-BC
• Matthew Lagrange
• Lake Huron Urgent Care Center, LLC
• Mhairi Lake
• Lakeshore Surgery Anesthesia Billing
• Mario Roberto Lanni, M.D.

• Optometrist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.