Individual provider Active NPI

Mark Joseph Grabowski, OD

  • Optometrist
  • Brighton, MI
National Provider Identifier
1285780304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003080 Issued in MI
Practice address
455 East Grand River
Brighton, MI 48116
Phone
(810) 227-2376
Fax
(810) 227-4390
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003080 MI Primary

Addresses

Primary practice location

455 East Grand River
Brighton, MI 48116

Mailing address

140 Macomb
Mt Clemens, MI 48043
Phone (586) 468-7370

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090710000499 MI Practitioner - Optometry 9436201100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jul 1, 2009 Accepting new patients
SVS Vision Inc Optometrist Current Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jul 1, 2009 Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients

Locations

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

609 N Canal Rd
#C
Lansing, MI 48917

1314 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0195

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

140 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 464-1479

4930 Marsh Rd
Ste 5
Okemos, MI 48864

3110 Van Horn Rd
Trenton, MI 48183
Phone (734) 675-8197

3150 Alpine Ave NW
Ste F
Walker, MI 49544
Phone (616) 363-9831

29660 S Wixom Rd
Wixom, MI 48393
Phone (248) 313-5500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285780304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MACOMB",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-468-7370",
            "fax_number": "586-464-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EAST GRAND RIVER",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-227-2376",
            "fax_number": "810-227-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.