Nora Clancy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003305 Issued in MI

Practice address

7117 Dixie Hwy
Clarkston, MI 48346-2077

Phone

(248) 620-1100

Fax

(248) 620-1196

NPI assigned

Jun 16, 2009

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Ferris State College - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Todd Staniszewski OD PCGroup PAC ID 6507992856, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Todd Staniszewski OD PC

  dba Advanced Eyecare of Michigan

  • Preferred Provider Organization
  • Clarkston, MI
  • NPI 1730347808
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1477780658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462077",
            "telephone_number": "248-620-1100",
            "fax_number": "248-620-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462077",
            "telephone_number": "248-620-1100",
            "fax_number": "248-620-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "NORA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "900F36787",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M41550002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliane Chreston, OT
• Jacqueline Christianson
• Betty S W Chu, MD
• Cecily Ciaramitaro, DPT
• Steven Cincotta, PHARMD
• Clarity Counseling Services, LLC
• Susan Louise Clark, NP
• Laurel Lucas Clarke
• Abbigayle Ione Clarkson
• Clarkston ASC Partners LLC (Clarkston Surgery Center)

• Optometrist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.