Individual provider Active NPI

Correen Leeann Hayes, O.D.

  • Optometrist
  • Fremont, MI
National Provider Identifier
1508818113
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003858 Issued in MI
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0F26509OtherMIBCBSM
MI3858OtherMIVBA
MI3858OtherMIEYEMED

Other names 1

  • Dr. Correen Leeann Brimmer Former name

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
I20060920000208 MI Practitioner - Optometry 2961407275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew S Riemer DO PCGroup PAC ID 8729058839, 8 clinicians

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 100Reported as group
Quality
93.11
Improvement activities
40
Cost
71.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003858MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew S Riemer Dopc Optometrist CurrentSince Jan 11, 2000 Accepting new patients
Andrew S Riemer DO PC Optometrist CurrentSince Jan 11, 2000 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.

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

Verify at the official NPI Registry.