Nikkie J Lalonde-Viegelahn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005524 Issued in MI

Practice address

205 S Bradley Hwy
Rogers City, MI 49779-2137

Phone

(989) 734-2052

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thunder Bay Community Health Service IncGroup PAC ID 0143296772, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552

  Optometrist

  Medicare reassignment Care Compare group NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Mio, MI
  • NPI 1750751392
  NPD
• Up North Eye Care, PLLC

  • Optometrist
  • Alpena, MI
  • NPI 1437890514
  NPD

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1427629435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-354-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497792137",
            "telephone_number": "989-734-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALONDE-VIEGELAHN",
        "first_name": "NIKKIE",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1679611941",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Kowalski, OTRL
• Robert Bruce Kromer, PT
• Arika L Kunath, P.T.
• Dana J La Bar, LPC
• Lakeside Language LLC
• Lesley Lalonde
• Cody Michael Lawnichak, PA-C
• Rachel Leckrone
• Kenneth Kale Leppert, R.P.T.
• Amy Elizabeth Lesniowski, OTR

• Optometrist in Rogers City, MI
• Providers in Rogers City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.