Individual provider Active NPI

Joshua Rabideau, OD

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1326618554
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005562 Issued in MI
Practice address
5500 Armstrong Rd
Battle Creek, MI 49037-7314
Phone
(269) 966-5600
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005562 MI Primary

Addresses

Primary practice location

5500 Armstrong Rd
Battle Creek, MI 49037-7314

Mailing address

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

Other practice location 1

2333 Jolly Rd
Okemos, MI 48864-3541
Phone (517) 381-2000

Other practice location 2

5403 W Saginaw Hwy
Lansing, MI 48917-1918
Phone (517) 886-0222

Other practice location 3

330 W Lake Lansing Rd
East Lansing, MI 48823-8527
Phone (517) 337-8182

Other practice location 4

310 W Lake Lansing Rd
East Lansing, MI 48823-1438
Phone (517) 337-8182

Other practice location 5

5700 Marsh Rd
Haslett, MI 48840-8987
Phone (517) 339-4100

Other practice location 6

2117 E Grand River Ave
Lansing, MI 48912-3231
Phone (517) 485-2213

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
I20220915001554 MI Practitioner - Optometry 1557746302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bennett Optometry LLCGroup PAC ID 5193719367, 17 clinicians

Practice addresses (Care Compare)

2117 E Grand River Ave
Lansing, MI 48912-3231
Phone (517) 485-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Optometry LLC Optometrist Current Accepting new patients

Locations

5700 Marsh Rd
Haslett, MI 48840
Phone (517) 339-4100

Interoperability endpoints

  • Direct secure messaging: joshuarabideau@direct.eyecare-partners.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1326618554",
    "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": "5500 ARMSTRONG RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377314",
            "telephone_number": "269-966-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643541",
            "country_code": "US",
            "telephone_number": "517-381-2000",
            "fax_number": "517-381-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5403 W Saginaw Hwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489171918",
            "country_code": "US",
            "telephone_number": "517-886-0222",
            "fax_number": "517-886-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 W Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488238527",
            "country_code": "US",
            "telephone_number": "517-337-8182",
            "fax_number": "517-332-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231438",
            "country_code": "US",
            "telephone_number": "517-337-8182",
            "fax_number": "517-332-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Marsh Rd",
            "address_purpose": "LOCATION",
            "city": "Haslett",
            "state": "MI",
            "postal_code": "488408987",
            "country_code": "US",
            "telephone_number": "517-339-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123231",
            "country_code": "US",
            "telephone_number": "517-485-2213",
            "fax_number": "517-485-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABIDEAU",
        "first_name": "JOSHUA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-09-09",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.