Individual provider Active NPI

Priya Rose Brown, OD

  • Optometrist
  • West Bloomfield, MI
National Provider Identifier
1497314066
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005358 Issued in MI
Practice address
6891 Orchard Lake Rd
West Bloomfield, MI 48322-3415
Phone
(248) 855-5810
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005358 MI Primary

Addresses

Primary practice location

6891 Orchard Lake Rd
West Bloomfield, MI 48322-3415

Mailing address

459 Cambridge Rd
Royal Oak, MI 48067-2207
Phone (248) 739-0032

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190719001933 MI Practitioner - Optometry 3971839515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005358MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Optical Group Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Steve Franklin Optics Corp Past Accepting new patients
Normandy Optical North, PLLC Optometrist PastSince Aug 16, 2010 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients

Locations

654 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 761-8300

4576 Miller Rd
Flint, MI 48507
Phone (810) 732-4100

1736 W Michigan Ave
Jackson, MI 49202
Phone (517) 789-7131

30981 5 Mile Rd
Livonia, MI 48154
Phone (734) 522-3000

26140 Ingersol Dr
Novi, MI 48375
Phone (248) 348-2900

2875 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 852-5230

32987 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-9080

21304 Eureka Rd
Taylor, MI 48180
Phone (734) 287-4300

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 4

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1497314066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 CAMBRIDGE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672207",
            "telephone_number": "248-739-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6891 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223415",
            "telephone_number": "248-855-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PRIYA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.