Jeffrey Scieszka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003732 Issued in MI

Practice address

2810 Niles Rd
Saint Joseph, MI 49085-3338

Phone

(269) 429-6781

Fax

(269) 429-5006

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Ferris State College - College of Optometry, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Advanced Family Eye Care, PC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1912958919
  Medicare reassignment NPD Authorized official
• Advanced Mobile Eye Care, LLC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1487832556
  NPD (past) Authorized official
• Steinhoff Optical, LLC

  • Eyewear Supplier
  • Saint Joseph, MI
  • NPI 1063524171

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316160252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853338",
            "telephone_number": "269-429-6781",
            "fax_number": "269-429-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853338",
            "telephone_number": "269-429-6781",
            "fax_number": "269-429-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIESZKA",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Schreiner, MD
• Whitney Schueneman, RD
• Jessica R Schulte
• Elle Schultz, D.O
• Megan Marie Schumacher, LMSW
• Trudean Scott-Elliott
• Derek Scott, DO
• Scripts Pharmacy Inc
• Abigail Segovia, LCSW
• Daniel Seidling, LMSW

• Optometrist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.