Individual provider Active NPI

Courtney Amanda Dewey, OD

  • Optometrist
  • Brighton, MI
National Provider Identifier
1346285210
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004281 Issued in MI
Practice address
7500 Challis Rd
Brighton, MI 48116-9416
Phone
(810) 263-4000
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004281 MI Primary
Pediatric Optometrist 152WP0200X 5381 T2292 OH
Optometrist 152W00000X 5381 OH

Addresses

Primary practice location

7500 Challis Rd
Brighton, MI 48116-9416

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 764-4190

Other identifiers 2

IdentifierTypeStateIssuer
4878355MedicaidMI
2428813MedicaidOH

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
I20060714000014 MI Practitioner - Optometry 1850205154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 764-4190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5381OHMDOptometrist
5381 T2292OHMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Optometrist CurrentSince Aug 24, 2010 Accepting new patients
Regents of the University of Michigan CurrentSince Aug 24, 2010 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Reed Vision Associates, P.C. Optometrist Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Reed Vision Associates, P.C. Optometrist Past Accepting new patients
Westgate Vision Center LLC Optometrist PastSince Mar 10, 2018 Accepting new patients

Locations

2025 Traverwood Dr
Ste A6
Ann Arbor, MI 48105
Phone (734) 221-1006

1000 Wall St
Ann Arbor, MI 48105
Phone (734) 763-1415

3621 S State St
#700
Ann Arbor, MI 48108

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

7500 Challis Rd
Brighton, MI 48116
Phone (734) 764-4190

5728 Whitmore Lake Rd
Brighton, MI 48116
Phone (810) 227-2357

1051 N Canton Center Rd
Canton, MI 48187
Phone (734) 647-5670

3807 N Center Rd
Flint, MI 48506
Phone (810) 285-9815

4302 Underhill Dr
Flint, MI 48506
Phone (734) 998-2163

1300 N Linden Rd
Flint, MI 48532
Phone (734) 998-2163

1420 W 12th St
Flint, MI 48507
Phone (734) 998-2163

3181 E Grand Blanc Rd
Grand Blanc, MI 48439
Phone (734) 763-5874

6255 Neff Rd
Mount Morris, MI 48458
Phone (810) 591-9333

2095 Packard Rd
Rm 404
Ypsilanti, MI 48197
Phone (734) 221-1007

Organizations & group practices 7

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1346285210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CHALLIS RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169416",
            "telephone_number": "810-263-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wall St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481051912",
            "country_code": "US",
            "telephone_number": "734-764-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "COURTNEY",
        "middle_name": "AMANDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004281",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "5381 T2292",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5381",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878355",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2428813",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.