Individual provider Active NPI

Marc M Prieur, OD

  • Optometrist
  • Coldwater, MI
National Provider Identifier
1487672937
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003646 Issued in MI
Practice address
755 E Chicago
Coldwater, MI 49036-2027
Phone
(517) 278-9004
Fax
(269) 342-4284
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003646 MI Primary

Addresses

Primary practice location

755 E Chicago
Coldwater, MI 49036-2027

Mailing address

1825 S Park St
Kalamazoo, MI 49001-2762
Phone (269) 342-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041103000033 MI Practitioner - Optometry 2961464771 Reassigns benefits to 1 organization
I20140103001547 IN Practitioner - Optometry 2961464771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 9, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 9, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1400 N Wayne St
Angola, IN 46703
Phone (260) 668-8881

1400 N Wayne St
Ste F
Angola, IN 46703
Phone (260) 668-8881

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424

755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

2008 Washington Ave
Saint Joseph, MI 49085
Phone (269) 983-1303

15204 Eureka Rd
Southgate, MI 48195
Phone (734) 282-9500

500 S Centerville Rd
Sturgis, MI 49091
Phone (269) 651-1958

111 N US Highway 131
Three Rivers, MI 49093
Phone (269) 273-9515

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1487672937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012762",
            "telephone_number": "269-342-0003",
            "fax_number": "269-342-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E CHICAGO",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362027",
            "telephone_number": "517-278-9004",
            "fax_number": "269-342-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEUR",
        "first_name": "MARC",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.