Active NPI
Lizbeth Ann Joseph, O.D.
- Optometrist
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004844
- Practice address
- 33100 S Gratiot Ave
Clinton TWP, MI 48035-4036 - Phone
- (586) 294-0120
- Fax
- (586) 294-6322
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6209 | OH | |
| Optometrist | 152W00000X | 18003868 | IN | |
| Optometrist | 152W00000X | 4901004844 | MI | Primary |
Addresses
Primary practice location
33100 S Gratiot Ave
Clinton TWP, MI 48035-4036
Mailing address
735 John R Rd Ste 150
Troy, MI 48083-5859
Phone (248) 588-9300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33100 S Gratiot Ave
Clinton Township, MI 48035-4036
Phone (586) 294-0120
35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6209 | OH | MD | Clinical Psychologist |
| 18003868 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcor LLC | Optometrist | Current | Accepting new patients |
| Pcor, LLC | Optometrist | Current | Accepting new patients |
Locations
1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555
27903 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 598-3935
33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120
3271 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 360-0121
400 Renaissance Ctr
Ste 140
Detroit, MI 48243
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300
4281 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-4000
15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401
1376 S Lapeer Rd
#A
Lake Orion, MI 48360
Phone (248) 693-3380
516 Highland Ave
Milford, MI 48381
Phone (248) 577-3616
504 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-2020
40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300
32600 Gratiot Ave
Roseville, MI 48066
Phone (586) 294-0120
2025 25 Mile Rd
Shelby Township, MI 48316
Phone (248) 651-3937
29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017
44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910
22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100
735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300
735 John R Rd
Troy, MI 48083
Phone (248) 544-3290
35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200
Interoperability endpoints
- lkochuparampil371748@direct.hfhs.org
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.
-
- Optometrist
- Troy, MI
- NPI 1720033343
-
- Optometrist
- Troy, MI
- NPI 1801122460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1386085876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 JOHN R RD STE 150",
"city": "TROY",
"state": "MI",
"postal_code": "480835859",
"telephone_number": "248-588-9300",
"fax_number": "248-588-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33100 S GRATIOT AVE",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354036",
"telephone_number": "586-294-0120",
"fax_number": "586-294-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "LIZBETH",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6209",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18003868",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.