Individual provider Active NPI

Howard Foote, O.D.

  • Optometrist
  • Flushing, MI
National Provider Identifier
1346326071
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002303 Issued in MI
Practice address
1379 Flushing Rd
Flushing, MI 48433-2262
Phone
(810) 659-3135
NPI assigned
Oct 27, 2006
Last updated
May 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002303 MI Primary

Addresses

Primary practice location

1379 Flushing Rd
Flushing, MI 48433-2262

Mailing address

9125 Burning Tree Dr
Grand Blanc, MI 48439-9528
Phone (810) 694-2020

Other identifiers 3

IdentifierTypeStateIssuer
900B514120OtherMIBLUE CARE NETWORK
945089340MedicaidMI
900B565541OtherMIBCBSM

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
I20050719001041 MI Practitioner - Optometry 6103853379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002303MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Sep 1, 2007 Accepting new patients
Pcor, LLC Optometrist CurrentSince Sep 1, 2007 Accepting new patients
Insight Vision Center LLC Optometrist Past Accepting new patients

Locations

655 W 13 Mile Rd
Madison Hts, MI 48071
Phone (248) 577-3616

Organizations & group practices 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1346326071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 BURNING TREE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399528",
            "telephone_number": "810-694-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 FLUSHING RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332262",
            "telephone_number": "810-659-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "HOWARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "900B514120",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945089340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900B565541",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.