Active NPI
Jeffrey Richard Varanelli, OD
- Optometrist
- Warren, MI
National Provider Identifier
1396792016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003935
- Practice address
- 29245 Ryan Road
#100 Simone Eye Center
Warren, MI 48092 - Phone
- (586) 558-2981
- Fax
- (586) 558-8838
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003935 | MI | Primary |
| Ophthalmology Physician | 207W00000X | 16 | MI |
Addresses
Primary practice location
29245 Ryan Road
#100 Simone Eye Center
Warren, MI 48092
Mailing address
29245 Ryan Road
#100 Simone Eye Center
Warren, MI 48092-1421
Phone (586) 558-2981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900N834800 | Other | MI | BCBSM |
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
- Illinois College of Optometry at Chicago, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29245 Ryan Rd
Suite 100
Warren, MI 48092-4230
Phone (586) 558-2981
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.39 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 51.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003935 | MI | MD | Optometrist |
| 16 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piero a. Simone, M.D., P.C. | Optometrist | Current | Accepting new patients |
| Mid Michigan Eye Care Center, PC | Optometrist | Past | Accepting new patients |
Locations
15959 Hall Rd
Ste 202
Macomb, MI 48044
Phone (586) 247-5959
29245 Ryan Rd
Ste 100
Warren, MI 48092
Phone (586) 558-2981
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": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1396792016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29245 RYAN ROAD",
"address_2": "#100 SIMONE EYE CENTER",
"city": "WARREN",
"state": "MI",
"postal_code": "480921421",
"telephone_number": "586-558-2981",
"fax_number": "586-558-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29245 RYAN ROAD",
"address_2": "#100 SIMONE EYE CENTER",
"city": "WARREN",
"state": "MI",
"postal_code": "48092",
"telephone_number": "586-558-2981",
"fax_number": "586-558-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARANELLI",
"first_name": "JEFFREY",
"middle_name": "RICHARD",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003935",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "16",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "900N834800",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.