Individual provider Active NPI

Steven D Drennan, O.D

  • Optometrist
  • Madison Heights, MI
National Provider Identifier
1295817823
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003866 Issued in MI
Practice address
32041 John R Rd
Madison Heights, MI 48071-1322
Phone
(248) 585-1205
Fax
(248) 585-1207
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003866 MI Primary

Addresses

Primary practice location

32041 John R Rd
Madison Heights, MI 48071-1322

Mailing address

2424 E 8 Mile Rd
Detroit, MI 48234-1010
Phone (313) 366-5100

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
I20130923000504 MI Practitioner - Optometry 2466696984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
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)

118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7612

2023 W 8 Mile Rd
Highland Park, MI 48203-1050
Phone (313) 365-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003866MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince May 18, 2018 Accepting new patients
SVS Vision Inc Optometrist CurrentSince May 18, 2018 Accepting new patients
Wce, LLC Past Accepting new patients
Wce, LLC Optometrist Past Accepting new patients
Wce, LLC Past Accepting new patients

Locations

26671 Ford Rd
Dearborn Heights, MI 48127
Phone (734) 458-5181

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1295817823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341010",
            "telephone_number": "313-366-5100",
            "fax_number": "313-366-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32041 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711322",
            "telephone_number": "248-585-1205",
            "fax_number": "248-585-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNAN",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.