Active NPI
Olivia Michelle Marineau, OD
- Optometrist
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005428
- Practice address
- 325 N Lilley Rd
Canton, MI 48187-3908 - Phone
- (734) 981-2700
- NPI assigned
- Jun 24, 2020
- Last updated
- Jun 6, 2024
- 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 | 4901005428 | MI | Primary |
Addresses
Primary practice location
325 N Lilley Rd
Canton, MI 48187-3908
Mailing address
PO Box 280
Douglas, MI 49406-0280
Phone (812) 251-9268
Other practice location 1
2333 W Stadium Blvd
Ann Arbor, MI 48103-3844
Phone (734) 663-0870
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
- University of Houston - College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 Blue Star Hwy
Douglas, MI 49406-5139
Phone (269) 857-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005428 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard C Annis OD PC | Optometrist | Current | Accepting new patients |
| Stadium Opticians, Inc. | Optometrist | Current | Accepting new patients |
| Marineau Eye Care, PLC | Optometrist | Current | Accepting new patients |
Locations
2333 W Stadium Blvd
Ann Arbor, MI 48103
2335 W Stadium Blvd
Ann Arbor, MI 48103
Organizations & group practices 4
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.
-
- Optometrist
- Douglas, MI
- NPI 1477396901
-
- Optometrist
- Ann Arbor, MI
- NPI 1245384544
-
- Eyewear Supplier
- Canton, MI
- NPI 1609047422
-
- Optometrist
- Douglas, MI
- NPI 1053583476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1275159246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "DOUGLAS",
"state": "MI",
"postal_code": "494060280",
"telephone_number": "812-251-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N LILLEY RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481873908",
"telephone_number": "734-981-2700"
}
],
"practiceLocations": [
{
"address_1": "2333 W Stadium Blvd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481033844",
"country_code": "US",
"telephone_number": "734-663-0870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINEAU",
"first_name": "OLIVIA",
"middle_name": "MICHELLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.