Individual provider Active NPI

Andrea Christine Lirones, OD

  • Optometrist
  • East Lansing, MI
National Provider Identifier
1306367602
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005062 Issued in MI
Practice address
310 W Lake Lansing Rd
East Lansing, MI 48823-1438
Phone
(517) 337-8182
Fax
(517) 332-0038
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005062 MI Primary

Addresses

Primary practice location

310 W Lake Lansing Rd
East Lansing, MI 48823-1438

Mailing address

PO Box 208177
Dallas, TX 75320-8177
Phone (636) 200-4393

Other identifiers 1

IdentifierTypeStateIssuer
2806099MedicaidMI

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
I20170802002998 MI Practitioner - Optometry 8325319783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abp Eyesite PCGroup PAC ID 1759367147, 4 clinicians

Practice addresses (Care Compare)

1234 E Broomfield St
Suite 6
Mount Pleasant, MI 48858-4490

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005062MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Jan 29, 2019 Accepting new patients
Abp Eyesite PC Optometrist CurrentSince Mar 1, 2022 Accepting new patients
Blue Sky Vision Eye Care, PC CurrentSince Jan 29, 2019 Accepting new patients

Locations

310 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 337-8182

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

537 W Main St
Ionia, MI 48846
Phone (616) 523-1010

137 S Marketplace Blvd
Lansing, MI 48917
Phone (517) 336-6060

3181 Sandhill Rd
Mason, MI 48854
Phone (517) 336-6060

1234 E Broomfield St
Ste 6
Mt Pleasant, MI 48858
Phone (989) 773-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: andreashank@direct.eyecare-partners.com

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1306367602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208177",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231438",
            "telephone_number": "517-337-8182",
            "fax_number": "517-332-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRONES",
        "first_name": "ANDREA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2806099",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.