Mitchell Robert Dobrzelewski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003197 Issued in MI

Practice address

12900 S US-27
#7 Dewitt Optometry PC
Dewitt, MI 48820

Phone

(517) 669-4411

Fax

(517) 669-4433

NPI assigned

May 17, 2006

Last updated

Aug 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Ferris State College - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aeg Michigan Professional LLC

  • Optometrist
  • Chesaning, MI
  • NPI 1053032912
  Medicare reassignment Care Compare group NPD
• Care Free Medical, Inc

  dba Care Free Medical

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1518983907

  Optometrist

  Medicare reassignment NPD
• Dewitt Optometry PC

  • Optometrist
  • Dewitt, MI
  • NPI 1649222423
  Medicare reassignment NPD
• Care Free Medical, Inc

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
  • NPI 1700607405

  Optometrist

  NPD (past)
• Suburban Optometrics Assoc P C

  • Optometrist
  • Livonia, MI
  • NPI 1952518748
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1255384996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 S US 27",
            "address_2": "#7 DEWITT OPTOMETRY PC",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208340",
            "telephone_number": "517-669-4411",
            "fax_number": "517-669-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 S US-27",
            "address_2": "#7 DEWITT OPTOMETRY PC",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "48820",
            "telephone_number": "517-669-4411",
            "fax_number": "517-669-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRZELEWSKI",
        "first_name": "MITCHELL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewitt Family Therapy L.L.C.
• Dewitt Optometry PC
• Swetha Dharmavaram Kottam, RPH
• Divine Home Care and Staffing Solutions
• Divine Therapy Services Inc
• Downtown Dewitt Chiropractic, P.C.
• Thomas John Doyle, O.D.
• Julia Drake, PT, DPT
• Jackie Drushel-Vanamburg, RDH
• Larson Pax Drzewicki, MA, CCC-SLP

• Optometrist in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.