Active NPI
Ariel Paige Pscheidl, OD
- Optometrist
- Utica, MI
National Provider Identifier
1508425265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005367
- Practice address
- 45600 Utica Park Blvd
Utica, MI 48315-5917 - Phone
- (586) 739-1675
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005367 | MI | Primary |
Addresses
Primary practice location
45600 Utica Park Blvd
Utica, MI 48315-5917
Mailing address
45600 Utica Park Blvd
Utica, MI 48315-5917
Other practice location 1
1237 32nd St
Port Huron, MI 48060-7323
Phone (810) 982-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005367 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1508425265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45600 UTICA PARK BLVD",
"city": "UTICA",
"state": "MI",
"postal_code": "483155917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45600 UTICA PARK BLVD",
"city": "UTICA",
"state": "MI",
"postal_code": "483155917",
"telephone_number": "586-739-1675"
}
],
"practiceLocations": [
{
"address_1": "1237 32nd St",
"address_purpose": "LOCATION",
"city": "Port Huron",
"state": "MI",
"postal_code": "480607323",
"country_code": "US",
"telephone_number": "810-982-6165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PSCHEIDL",
"first_name": "ARIEL",
"middle_name": "PAIGE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.