Individual provider Active NPI

Amy S Ferguson, OD

  • Optometrist
  • Novi, MI
National Provider Identifier
1447273677
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005770 Issued in MI
Practice address
41555 W Twelve Mile Rd
Novi, MI 48377-3103
Phone
(248) 675-0800
Fax
(248) 675-0545
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005770 MI Primary

Addresses

Primary practice location

41555 W Twelve Mile Rd
Novi, MI 48377-3103

Mailing address

104 Medical Dr.
Boerne, TX 78006
Phone (830) 331-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005770MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Detroit Mercy Optometrist CurrentSince Oct 21, 2025 Accepting new patients
F K Manuel OD PLLC Optometrist PastSince Dec 6, 2007 Accepting new patients
Oneopto TX 1 PLLC Optometrist PastSince Sep 28, 2025 Accepting new patients
Hindsight 20/20 Eyecare Optometrist Past Accepting new patients
University of Detroit Mercy PastSince Oct 21, 2025 Accepting new patients

Locations

41555 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 675-0285

Organizations & group practices 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1447273677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEDICAL DR.",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-331-8981",
            "fax_number": "830-331-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41555 W TWELVE MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773103",
            "telephone_number": "248-675-0800",
            "fax_number": "248-675-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.