Michael Justin Sirott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA 3806 Issued in WA

Practice address

902 Engh Rd
Omak, WA 98841-9473

Phone

(509) 846-3930

Fax

(509) 288-4269

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melissa Barnhart OD PLLCGroup PAC ID 4880828466, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Melissa Barnhart, OD, PLLC

  • Optometrist
  • Spokane, WA
  • NPI 1861833378
  Medicare reassignment Care Compare group NPD
• James C Wavra

  • Optometrist
  • Spokane, WA
  • NPI 1841205630
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1508979493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10772",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992090772",
            "telephone_number": "509-846-3930",
            "fax_number": "509-288-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ENGH RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419473",
            "telephone_number": "509-846-3930",
            "fax_number": "509-288-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTT",
        "first_name": "MICHAEL",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA 3806",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "103000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508979493",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashraf Monir Kamel Shalaby
• Kristie Lee Shaw
• Tyana Shiles, LMT
• Krisana Shrable
• Kristine Lynn Shuster
• Jules Sleiman, MD
• Brendan Daniel Derivan Smith, N.D.
• Larry Dean Smith, D.O.
• Molly Ann Smyth, RN
• Cheri Snodgrass

• Optometrist in Omak, WA
• Providers in Omak, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.

Verify at the official NPI Registry.