Active NPI
Correen Leeann Hayes, O.D.
- Optometrist
- Fremont, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003858
- Practice address
- 1007 W Main St
Fremont, MI 49412-1420 - Phone
- (231) 924-1988
- Fax
- (231) 924-1622
- NPI assigned
- May 16, 2006
- Last updated
- Oct 29, 2007
- 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 | 4901003858 | MI | Primary |
Addresses
Primary practice location
1007 W Main St
Fremont, MI 49412-1420
Mailing address
1007 W Main St
Fremont, MI 49412-1420
Phone (231) 924-1988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F26509 | Other | MI | BCBSM |
| MI3858 | Other | MI | VBA |
| MI3858 | Other | MI | EYEMED |
Other names 1
- Dr. Correen Leeann Brimmer
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1352 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 723-8363
5959 Lawndale St
Ludington, MI 49431-2921
Phone (231) 845-6261
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.57 of 100
- Quality
- 93.11
- Improvement activities
- 40
- Cost
- 71.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003858 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew S Riemer Dopc | Optometrist | Current | Accepting new patients |
| Andrew S Riemer DO PC | Optometrist | Current | Accepting new patients |
| C & C Optical Shop Inc. | Past | Accepting new patients |
Locations
5959 Lawndale St
Ludington, MI 49431
Phone (231) 845-6261
1352 E Parkdale Ave
Manistee, MI 49660
Phone (231) 723-8363
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Fremont, MI
- NPI 1992811632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1508818113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 W MAIN ST",
"city": "FREMONT",
"state": "MI",
"postal_code": "494121420",
"telephone_number": "231-924-1988",
"fax_number": "231-924-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W MAIN ST",
"city": "FREMONT",
"state": "MI",
"postal_code": "494121420",
"telephone_number": "231-924-1988",
"fax_number": "231-924-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "CORREEN",
"middle_name": "LEEANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0F26509",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "MI3858",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MI3858",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORREEN",
"last_name": "BRIMMER",
"middle_name": "LEEANN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fremont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.