Organization Active NPI

Dawn Maccreery OD

Doing business as MacCreery Vision Center

  • Optometrist
  • East Lansing, MI
National Provider Identifier
1316067960
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002817 Issued in MI
Legal business name
DAWN MACCREERY OD
Doing business as
MacCreery Vision Center
Practice address
3050 E Lake Lansing Rd
Suite C
East Lansing, MI 48823
Phone
(517) 332-1011
Fax
(517) 332-6321
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dawn Yvonne Maccreery, OD
Title
Optometrist Owner
Phone
(517) 332-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002817 MI Primary

Addresses

Primary practice location

3050 E Lake Lansing Rd
Suite C
East Lansing, MI 48823

Mailing address

3050 E Lake Lansing Rd
Suite C
East Lansing, MI 48823
Phone (517) 332-1011

Other identifiers 8

IdentifierTypeStateIssuer
MI2817001OtherMIEYEMED
900C36566OtherMIBLUE CROSS BLUE SHIELD MI
5585771OtherMIAETNA
M3050366644010OtherMIVISION SERVICE PLAN
877935OtherMIOPTICHOICE
P58720OtherMIBCN HEALTH CENTRAL
023437OtherMINVA HERITAGE
200000005797OtherMIPHYSICIANS HEALTH PLAN

Other names 1

  • MacCreery Vision Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316067960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E LAKE LANSING RD",
            "address_2": "SUITE C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-1011",
            "fax_number": "517-332-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E LAKE LANSING RD",
            "address_2": "SUITE C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-1011",
            "fax_number": "517-332-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN MACCREERY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACCREERY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "517-332-1011",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MI2817001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "900C36566",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5585771",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "M3050366644010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "877935",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN HEALTH CENTRAL",
            "identifier": "P58720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA HERITAGE",
            "identifier": "023437",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000005797",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MacCreery Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.