Optical Management Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

E5186F Issued in MI

Legal business name

OPTICAL MANAGEMENT SERVICES, LLC

Practice address

13909 Hall Rd
Shelby Township, MI 48315-6103

Phone

(586) 991-6560

Fax

(586) 991-6722

NPI assigned

Feb 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Renee M Herrington

Title

Delegated Official/Credentialing SP

Phone

(989) 790-5005

Specialties & licenses 1

Addresses

Other names 1

• Riverfront Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Optical Management Services, LLC

  • Optometrist
  • Sterling Heights, MI
  • NPI 1417137936

  O20141117001141

  Same enrollment
• Optical Management Services, LLC

  • Optometrist
  • Flint, MI
  • NPI 1538562988

  O20141117001141

  Same enrollment
• Optical Management Services, LLC

  • Optometrist
  • Saginaw, MI
  • NPI 1720481484

  O20141117001141

  Same enrollment

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura J Bahorski, O.D.

  • Optometrist
  • Eastpointe, MI
  • NPI 1932249091
  NPD
• Melissa Marie David, O.D.

  • Optometrist
  • Saginaw, MI
  • NPI 1205887171
  NPD
• Carl J Erickson, OD

  • Optometrist
  • Traverse City, MI
  • NPI 1093027518
  NPD
• Kimberly Lynne Garrison, OD

  • Optometrist
  • Burton, MI
  • NPI 1427134063
  NPD
• Laura Suzanne Lane, OD

  • Optometrist
  • Flint, MI
  • NPI 1346381373
  NPD
• Courtney Moliterno, OD

  • Optometrist
  • Birch Run, MI
  • NPI 1952663924
  NPD
• Brad E. Bloomberg, O.D.

  • Optometrist
  • Boardman, OH
  • NPI 1962596478
  NPD
• Hannah Massa, OD

  • Optometrist
  • Boardman, OH
  • NPI 1619756665
  NPD

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1255870960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 HALL RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156103",
            "telephone_number": "586-991-6560",
            "fax_number": "586-991-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 HALL RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156103",
            "telephone_number": "586-991-6560",
            "fax_number": "586-991-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL/CREDENTIALING SP",
        "authorized_official_telephone_number": "989-790-5005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "E5186F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverfront Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Solema Castro Ogoy, PHYSICAL THERAPIST
• Christine Ann Olson, RPH
• Mikenzie Olson
• Online Urgent Care P.L.L.C.
• Michael Italo Opipari, D.O.
• Oral Surgery P.L.L.C
• Orchard Endodontics PLLC
• Orchard Living View Inc
• Orlando Counseling Services PLLC
• Laurie Orlando, JD, MA, LPC, NCC

• Optometrist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.