Organization Active NPI

Insight Optometry, PC

  • Optometrist
  • Suttons Bay, MI
National Provider Identifier
1407814619
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INSIGHT OPTOMETRY, PC
Practice address
200 S Cedar St
Suttons Bay, MI 49682-0460
Phone
(231) 271-4544
NPI assigned
May 4, 2006
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Andrea B Seeley, O.D.
Title
President
Phone
(231) 271-4544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Eyewear Supplier 332H00000X MI

Addresses

Primary practice location

200 S Cedar St
Suttons Bay, MI 49682-0460

Mailing address

PO Box 460
Suttons Bay, MI 49682-0460
Phone (231) 271-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050415000825 MI Part B Supplier - Clinic/Group Practice 9436196854 Receives reassigned benefits from 1 practitioner
Practice locations: Suttons Bay, MI
O20100930065693 MI DME Supplier - Physician - Optometrist 9436196854 Practice locations: Suttons Bay, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2166360Insight Optometry PC200 S Cedar St, Suttons Bay, MI 49682Certificate of waiverMay 15, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Insight Optometry PC200 S Cedar St, Suttons Bay, MI 49682-5123(231) 271-4544 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 4, 1999

National Provider Directory

National Provider Directory

Locations

200 S Cedar St
Suttons Bay, MI 49682
Phone (231) 271-4544

200 S Cedar St
#460
Suttons Bay, MI 49682
Phone (231) 271-4544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1407814619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820460",
            "telephone_number": "231-271-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CEDAR ST",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820460",
            "telephone_number": "231-271-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "SEELEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-271-4544",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.