Janiece Lynn Mattice-Bober, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004738 Issued in MI

Practice address

6523 Telegraph Rd
Bloomfield Hills, MI 48301-3066

Phone

(231) 282-3044

NPI assigned

Sep 6, 2012

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 names 1

• Janiece Lynn Mattice Former name

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1457600207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 LINTON ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224704",
            "telephone_number": "231-282-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013066",
            "telephone_number": "231-282-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICE-BOBER",
        "first_name": "JANIECE",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIECE",
            "last_name": "MATTICE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Lynn Martus, OTR/L
• Mary K Alani MD PC
• Larry Masarsky, DC
• Sarah M Mashigan, RD
• Mandy Mastronardi-Morris
• Timothy Joseph Matway, M.D.
• Leslie Maunz, M.A.,C.C.C.-SLP
• Maureen a Kelly MD PLLC (Bloomfield Pediatric Care)
• Cynthia Maurer, MPT
• Maximum Care Services LLC

• Optometrist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.