Carl Vincent Poggiolo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004394 Issued in MI

Practice address

15055 22 Mile Rd Ste 3
Shelby Township, MI 48315-4401

Phone

(586) 239-0303

Fax

(586) 436-3537

NPI assigned

Sep 1, 2006

Last updated

Mar 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Associates Family Eye Care, PLLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1811369887
  Medicare reassignment NPD Authorized official
• Vision Associates PC

  • Optometrist
  • Warren, MI
  • NPI 1932267226
  Medicare reassignment NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1316059538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 22 MILE RD STE 3",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154401",
            "telephone_number": "586-239-0303",
            "fax_number": "586-436-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 22 MILE RD STE 3",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154401",
            "telephone_number": "586-239-0303",
            "fax_number": "586-436-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGGIOLO",
        "first_name": "CARL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189515",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5819551",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Pleiness, MS, PA-C
• Amanda Plumb
• Plymouth Physical Therapy Specialists Limited Partnership
• Danielle Pociecha
• Sara Podolan
• Poirier Chiropractic, Inc.
• Nicole Poirier, D.C.
• Kimberly Ann Pokowski, DPT
• Tracy Lee Polega, RDN, RD
• Amanda Lynn Pomorski

• Optometrist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.