Active NPI
Gerianne Johanna Mulanix, OD
- Optometrist
- Flint, MI
National Provider Identifier
1245544949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004592
- Practice address
- 4499 Town Center Pkwy
Flint, MI 48532-3425 - Phone
- (810) 733-7111
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004592 | MI | Primary |
Addresses
Primary practice location
4499 Town Center Pkwy
Flint, MI 48532-3425
Mailing address
123 E Broad St
Linden, MI 48451-9126
Other names 1
- Gerianne Johanna Smeckert
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 E Broad St
Linden, MI 48451-9126
Phone (810) 735-9988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004592 | MI | MD | Optometrist |
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.
-
- Low Vision Rehabilitation Optometrist
- Linden, MI
- NPI 1114373727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1245544949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E BROAD ST",
"city": "LINDEN",
"state": "MI",
"postal_code": "484519126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 TOWN CENTER PKWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323425",
"telephone_number": "810-733-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULANIX",
"first_name": "GERIANNE",
"middle_name": "JOHANNA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GERIANNE",
"last_name": "SMECKERT",
"middle_name": "JOHANNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.