Individual provider Active NPI

Emerson Grace Lankford

  • Optometrist
  • Saint Clair Shores, MI
National Provider Identifier
1225828015
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005888 Issued in MI
Practice address
23620 Harper Ave
Saint Clair Shores, MI 48080-1448
Phone
(586) 775-6733
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 4901005888 MI Primary

Addresses

Primary practice location

23620 Harper Ave
Saint Clair Shores, MI 48080-1448

Mailing address

23439 Spring Creek Dr
Macomb, MI 48042-2404
Phone (586) 419-2253

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
I20250625003929 MI Practitioner - Optometry 2961914783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Normandy Optical Company, IncGroup PAC ID 8325192859, 10 clinicians

Practice addresses (Care Compare)

23620 Harper Ave
Saint Clair Shores, MI 48080-1448
Phone (586) 775-6733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Normandy Optical Company, Inc Optometrist CurrentSince Jun 19, 2025 Accepting new patients
Normandy Optical North, PLLC Optometrist PastSince Aug 16, 2010 Accepting new patients

Locations

32090 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 725-5380

137 S Livernois Rd
Rochester Hills, MI 48307
Phone (248) 652-0600

47093 Hayes Rd
Shelby Township, MI 48315
Phone (586) 737-4733

23620 Harper Ave
St Clr Shores, MI 48080
Phone (586) 775-6733

32525 Mound Rd
Warren, MI 48092
Phone (586) 268-4466

64641 Van Dyke Rd
Washington, MI 48095
Phone (586) 725-4477

Organizations & group practices 2

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1225828015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23439 SPRING CREEK DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422404",
            "telephone_number": "586-419-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23620 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801448",
            "telephone_number": "586-775-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKFORD",
        "first_name": "EMERSON",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "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": "4901005888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.