Jeffery Alan Topolewski, O.D.
Individual provider Active NPI Optometrist · Kimball, MI
NPI 1487731089 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1487731089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004293 (MI)
- Practice address
- 4868 Lapeer Rd
Kimball, MI 48074-1517 - Phone
- (810) 982-3937
- Fax
- (810) 982-0205
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mark a Topolewski OD and Associates PC
Practice addresses (Care Compare)
4868 Lapeer Rd
Kimball, MI 48074-1517
Phone (810) 982-3937
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 |
|---|---|---|---|---|
| I20051115000576 | MI | Practitioner - Optometry | 5890714281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark a Topolewski OD and Associates PC | Optometrist | Current |
Accepting new patients |
Locations
4868 Lapeer Rd
Kimball, MI 48074
Phone (313) 982-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004293 | MI | Yes |
Addresses
Primary practice location
4868 Lapeer Rd
Kimball, MI 48074-1517
Mailing address
8681 Rynn Rd
Kenockee, MI 48006-4130
Phone (810) 325-9067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4831911 | Medicaid | MI |
Other providers in Kimball, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. 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.