Jonathan G. Garretson, O.D., P.C.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4901004259 Issued in MI

Legal business name

JONATHAN G. GARRETSON, O.D., P.C.

Practice address

5724 Clarkston Rd
Clarkston, MI 48348-3715

Phone

(248) 241-6537

Fax

(248) 241-6654

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Gary Garretson, O.D.NPI 1992885578

Title

President

Phone

(248) 241-6537

Specialties & licenses 1

Addresses

Other names 1

• Premier Eyecare & Contact Lens Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan G Garretson, O.D.

  • Corneal and Contact Management Optometrist
  • Clarkston, MI
  • NPI 1992885578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1275771982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 CLARKSTON RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483715",
            "telephone_number": "248-241-6537",
            "fax_number": "248-241-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 CLARKSTON RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483715",
            "telephone_number": "248-241-6537",
            "fax_number": "248-241-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN G. GARRETSON, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GARRETSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-241-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eyecare & Contact Lens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aidan Rhiannon Johnson
• Dominiquea Johnson
• Kelly Johnson
• Malaysha Johnson
• Reba E. Johnson, M.D.
• Maureen Ann Jones-Fitzgerald
• Penelope Jones, M.P.T.
• Sharina Jones, MBA
• Stephanie Ann Jones
• Libby Joseph, LMSW

• Corneal and Contact Management Optometrist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Corneal and Contact Management Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.