Individual provider Active NPI

Elysia Marie Schulze, O.D.

  • Optometrist
  • Bad Axe, MI
National Provider Identifier
1285864330
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004528 Issued in MI
Practice address
119 N Hanselman St
Bad Axe, MI 48413-1202
Phone
(989) 269-3937
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004528 MI Primary

Addresses

Primary practice location

119 N Hanselman St
Bad Axe, MI 48413-1202

Mailing address

119 N Hanselman St
Bad Axe, MI 48413-1202
Phone (989) 269-3937

Other identifiers 1

IdentifierTypeStateIssuer
4901004528OtherMILICENSE

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
I20091102000365 MI Practitioner - Optometry 1456498997 Reassigns benefits to 1 organization
Practice locations: Sandusky, MI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Vision IncGroup PAC ID 9931257110, 41 clinicians

Practice addresses (Care Compare)

455 E Grand River Ave
Brighton, MI 48116-1551
Phone (810) 227-2376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Dec 1, 2015 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Thumb Area Eye Associates Optometrist PastSince Jul 1, 2026 Accepting new patients
Mei Operations, PLLC Past Accepting new patients

Locations

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

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

3371 Tittabawassee Rd
Unit 150
Saginaw, MI 48604
Phone (989) 791-1044

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1285864330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N HANSELMAN ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131202",
            "telephone_number": "989-269-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N HANSELMAN ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131202",
            "telephone_number": "989-269-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "ELYSIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4901004528",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

Verify at the official NPI Registry.