Individual provider Active NPI

Eric Carl Webb, O.D.

  • Optometrist
  • Chesterfield, MI
National Provider Identifier
1437154564
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004113 Issued in MI
Practice address
45400 Marketplace Blvd
Chesterfield, MI 48051-3279
Phone
(586) 421-1274
Fax
(586) 421-1276
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004113 MI Primary

Addresses

Primary practice location

45400 Marketplace Blvd
Chesterfield, MI 48051-3279

Mailing address

34347 Lillian Rd
Chesterfield, MI 48047-3127
Phone (586) 725-0257

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000489 MI Practitioner - Optometry 4880783422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004113MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jan 5, 2018 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jan 5, 2018 Accepting new patients

Locations

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

7689 Mentor Ave
Mentor, OH 44060
Phone (440) 742-4900

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1437154564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34347 LILLIAN RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473127",
            "telephone_number": "586-725-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45400 MARKETPLACE BLVD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513279",
            "telephone_number": "586-421-1274",
            "fax_number": "586-421-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ERIC",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.