Individual provider Active NPI

Daniel Joseph Vargovick, O.D.

  • Optometrist
  • Farmington, MI
National Provider Identifier
1295707222
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003905 Issued in MI
Practice address
23342 Farmington Rd
Farmington, MI 48336-3102
Phone
(248) 477-1616
NPI assigned
Feb 3, 2006
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003905 MI Primary

Addresses

Primary practice location

23342 Farmington Rd
Farmington, MI 48336-3102

Mailing address

23342 Farmington Rd
Farmington, MI 48336-3102
Phone (248) 477-1616

Other identifiers 3

IdentifierTypeStateIssuer
900F367300OtherMIBCBS
900F367300OtherMIBLUE CARE NETWORK
0M85680OtherMIMEDICARE PLUS BLUE

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
I20090731000021 MI Practitioner - Optometry 9133272628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Eye and Vision Care, LLCGroup PAC ID 1759550296, 9 clinicians
Bennett Optometry LLCGroup PAC ID 5193719367, 17 clinicians

Practice addresses (Care Compare)

1191 Byron Rd
Howell, MI 48843-1005
Phone (517) 546-4655

138 W Chicago Blvd
Tecumseh, MI 49286-1553
Phone (517) 423-2148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eye and Vision Care, LLC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Bennett Optometry LLC Optometrist Current Accepting new patients
Low Vision Associates, P.C. Optometrist Past Accepting new patients

Locations

117 S Main St
Ann Arbor, MI 48104
Phone (734) 665-5306

37085 Grand River Ave
Ste D
Farmington, MI 48335
Phone (248) 477-1616

1191 Byron Rd
Howell, MI 48843
Phone (517) 546-4655

Interoperability endpoints

  • Direct secure messaging: danielvargovick@direct.eyecare-partners.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1295707222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23342 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-477-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23342 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-477-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGOVICK",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900F367300",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "900F367300",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0M85680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.