Emily Aslakson
Individual provider Active NPI Optometrist · Big Rapids, MI
NPI 1457748048 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1457748048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004606 (MI)
- Practice address
- 1124 S State St
Big Rapids, MI 49307-2256 - Phone
- (231) 591-2020
- Fax
- (231) 591-3991
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jeffrey B Byland OD PC
Ferris State University
Practice addresses (Care Compare)
103 S Division Ave
Excellence in Vision
Fremont, MI 49412-1602
Phone (231) 924-4110
1124 S State St
Big Rapids, MI 49307-2256
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150812007500 | MI | Practitioner - Optometry | 8820303498 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004606 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey B. Byland, O.D., P.C. | Current |
Accepting new patients |
Locations
103 S Division Ave
Fremont, MI 49412
Phone (231) 924-0430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004606 | MI | Yes |
Addresses
Primary practice location
1124 S State St
Big Rapids, MI 49307-2256
Mailing address
1124 S State St
Big Rapids, MI 49307-2256
Phone (231) 591-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900E47602 | Other | MI | BLUE CROSS |
| 386005159 | Medicaid | MI |
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.