Up Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

UP OPTOMETRY

Practice address

1015 S Lincoln Rd
Escanaba, MI 49829-2100

Phone

(906) 786-5181

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Cindy J Gersich

Title

Manager

Phone

(906) 786-5181

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaylene K Iverson, O.D.

  • Optometrist
  • Escanaba, MI
  • NPI 1659572071
  Medicare reassignment Care Compare group NPD
• Andrea Mott, O.D.

  • Optometrist
  • Escanaba, MI
  • NPI 1316235237
  Medicare reassignment Care Compare group NPD
• Darrell J Kohli, MD

  • Ophthalmology Physician
  • Escanaba, MI
  • NPI 1285633685
  Medicare reassignment NPD
• Kaitlyn Leanne Lord, OD

  • Optometrist
  • Escanaba, MI
  • NPI 1417885013
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1497792386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292100",
            "telephone_number": "906-786-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292100",
            "telephone_number": "906-786-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GERSICH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "906-786-5181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102758320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180B160140",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102940677",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659572071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Diane Tryan, LMSW
• Georgena E Turner, OT
• U P Otolaryngology PC
• Perry Charles Uhazie, DDS
• Up Bras That Fit Inc
• Up Transformations LLC
• Upcap Services, Inc.
• Upcap Services, Inc.
• Amanda Sue Valiquette
• Jacob Van Pelt, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.