Organization Active NPI

HD Optical Express LLC

  • Optometrist
  • Lansing, MI
National Provider Identifier
1538465117
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HD OPTICAL EXPRESS LLC
Practice address
5735 S Cedar St
Ste 1
Lansing, MI 48911-5154
Phone
(517) 882-2015
Fax
(517) 882-2026
NPI assigned
Jan 31, 2011
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Daniel NashNPI 1982901443
Title
Owner/Optometrist
Phone
(517) 882-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DTR-2451048 MI
Optometrist 152W00000X Primary

Addresses

Primary practice location

5735 S Cedar St
Ste 1
Lansing, MI 48911-5154

Mailing address

5735 S Cedar St
Ste 1
Lansing, MI 48911-5154
Phone (517) 882-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220216000851 MI Part B Supplier - Clinic/Group Practice 1254724255 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

5735 S Cedar St
Ste 1
Lansing, MI 48911
Phone (517) 882-2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1538465117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 S CEDAR ST",
            "address_2": "STE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115154",
            "telephone_number": "517-882-2015",
            "fax_number": "517-882-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 S CEDAR ST",
            "address_2": "STE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115154",
            "telephone_number": "517-882-2015",
            "fax_number": "517-882-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD OPTICAL EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "517-882-2015"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "DTR-2451048",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.