Active NPI
Piero a. Simone, M.D., P.C.
- Eyewear Supplier
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- PS066663
- Legal business name
- PIERO A. SIMONE, M.D., P.C.
- Practice address
- 15959 Hall Rd
Suite 202
Macomb, MI 48044-5363 - Phone
- (586) 558-2981
- Fax
- (586) 558-8838
- NPI assigned
- Mar 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Piero A Simone, MD
- Title
- President
- Phone
- (586) 558-2981
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | PS066663 | MI | Primary |
| Eyewear Supplier | 332H00000X | JV003935 | MI | |
| Eyewear Supplier | 332H00000X | 4901004738 | MI |
Addresses
Primary practice location
15959 Hall Rd
Suite 202
Macomb, MI 48044-5363
Mailing address
29245 Ryan Rd
Suite 100
Warren, MI 48092-4284
Phone (586) 558-2981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4397424 | Medicaid | MI |
Other names 1
- Simone Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140418000382 | MI | DME Supplier - Physician - Ophthalmology | 3173556271 | Practice locations: Macomb, MI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2099696 | Simone Eye Center | Certificate of waiver | Jul 30, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Simone Eye Center | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
29245 Ryan Rd
Ste 100
Warren, MI 48092
Phone (586) 558-2981
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Warren, MI
- NPI 1497769624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1417374752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29245 RYAN RD",
"address_2": "SUITE 100",
"city": "WARREN",
"state": "MI",
"postal_code": "480924284",
"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": "15959 HALL RD",
"address_2": "SUITE 202",
"city": "MACOMB",
"state": "MI",
"postal_code": "480445363",
"telephone_number": "586-558-2981",
"fax_number": "586-558-8838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIERO A. SIMONE, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-25",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "SIMONE",
"authorized_official_first_name": "PIERO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-558-2981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MI",
"license": "PS066663",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MI",
"license": "JV003935",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MI",
"license": "4901004738",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4397424",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Simone Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.