Michael Scott Demers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009655 Issued in IL

Practice address

410 N Michigan Ave Lbby 1
Chicago, IL 60611-4290

Phone

(312) 644-0885

NPI assigned

Oct 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1396029450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MICHIGAN AVE LBBY 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114290",
            "telephone_number": "312-644-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MICHIGAN AVE LBBY 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114290",
            "telephone_number": "312-644-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra B Dembitz
• Bali Dembowski, MA
• Mark Demeo, M.D.
• Athena Chryssa Demeros
• George A. Demeros, DDS
• Zachary Dean Demertzis, DO
• Julie Demes, CCC-SLP
• Angelo Demetrakakis, D.D.S.
• Melchor V Demetria, M.D.
• Demetrios Petrovas M.D. S.C.

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.