Individual provider Active NPI

Sandra L Doud, O.D.

  • Optometrist
  • Ypsilanti, MI
National Provider Identifier
1316900756
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003116 Issued in MI
Practice address
5477 W Clark Rd
Ypsilanti, MI 48197-1102
Phone
(734) 434-6000
Fax
(734) 434-7005
NPI assigned
Apr 7, 2006
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003116 MI Primary

Addresses

Primary practice location

5477 W Clark Rd
Ypsilanti, MI 48197-1102

Mailing address

5477 W Clark Rd
Ypsilanti, MI 48197-1102
Phone (734) 434-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdoud@huroneye.intellechartdirect.net

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
I20101214000197 MI Practitioner - Optometry 6305037102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

5477 W Clark Rd
Huron Ophthalmology PC
Ypsilanti, MI 48197-1102
Phone (734) 434-6000

Merit-based Incentive Payment System (MIPS)

Final score
75.03 of 100Reported as group
Quality
85.46
Promoting interoperability
100
Improvement activities
40
Cost
31.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, PC CurrentSince Jun 1, 2022 Accepting new patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

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

5477 W Clark Rd
Ypsilanti, MI 48197
Phone (734) 434-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1316900756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971102",
            "telephone_number": "734-434-6000",
            "fax_number": "734-434-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971102",
            "telephone_number": "734-434-6000",
            "fax_number": "734-434-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdoud@huroneye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "5477 W Clark Rd",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481971102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.