Julie M Powell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004772 Issued in MI

Practice address

1170 Jordan Lake St
Lake Odessa, MI 48849-1212

Phone

(616) 374-3284

Fax

(616) 374-2020

NPI assigned

Jul 23, 2013

Last updated

Apr 1, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lansing Ophthalmology, P.C.

  dba LO Eye Care

  • Ophthalmology Physician
  • East Lansing, MI
  • NPI 1962485342

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1245672906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238526",
            "telephone_number": "517-337-1668",
            "fax_number": "517-622-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 JORDAN LAKE ST",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491212",
            "telephone_number": "616-374-3284",
            "fax_number": "616-374-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennock Hospital
• Pennock Hospital (Corewell Health Pennock Hospital Family Medicine - Lake Odessa)
• Pennock Hospital Board of Trustees (Pennock Hospital Lake Odessa Sat Lab)
• Pine Rest Christian Mental Health Services (Pine Rest Lake Odessa Office)
• Lori Lynn Potter, ARDMS
• Simple Truth Chiropractic of Lake Odessa
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health United
• Lee O Stuart, MD
• Brian Willis Swanton, MD

• Optometrist in Lake Odessa, MI
• Providers in Lake Odessa, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.