Stacey Michaels OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4900103322 Issued in MI

Legal business name

STACEY MICHAELS OD PLLC

Practice address

45070 US Highway 41
Chassell, MI 49916-9116

Phone

(906) 481-7652

Fax

(906) 481-2020

NPI assigned

Apr 3, 2016

Last updated

Apr 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacey L Michaels, ODNPI 1740232412

Title

Owner/Optometrist

Phone

(906) 481-7652

Specialties & licenses 1

Addresses

Other names 1

• RoKa Optical Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Lynn Michaels, O.D.

  • Optometrist
  • Chassell, MI
  • NPI 1740232412
  Authorized official Same address or phone

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459641600000",
    "number": "1487017844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37750 S ENTRY RD",
            "city": "CHASSELL",
            "state": "MI",
            "postal_code": "499169258",
            "telephone_number": "906-481-7652",
            "fax_number": "906-481-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45070 US HIGHWAY 41",
            "city": "CHASSELL",
            "state": "MI",
            "postal_code": "499169116",
            "telephone_number": "906-481-7652",
            "fax_number": "906-481-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY MICHAELS OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "906-481-7652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4900103322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RoKa Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lake Superior Chiropractic PLLC
• Stacey Lynn Michaels, O.D.
• Kristen Lynn Miller, M.A.,CCC-SLP
• Tyler James Roy, D.C.
• Jinny Lee Sirard, D.C.
• Superior Family Chiropractic PLLC
• Kemmy Lou Taylor, DC
• James Otto Vollmar Sr., RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.