Active NPI
Kelly Nicole Janos, OD
- Optometrist
- Rochester Hills, MI
National Provider Identifier
1548990922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005632
- Practice address
- 3160 S Rochester Rd
Rochester Hills, MI 48307-5040 - Phone
- (248) 853-4141
- NPI assigned
- Jun 16, 2022
- Last updated
- Jun 16, 2022
- 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 | 4901005632 | MI | Primary |
Addresses
Primary practice location
3160 S Rochester Rd
Rochester Hills, MI 48307-5040
Mailing address
4251 N McNay CT
West Bloomfield, MI 48323-2838
Phone (248) 421-4362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4251 N McNay CT
West Bloomfield, MI 48323-2838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005632 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lenscrafters #5592
- Eyewear Supplier
- Rochester Hills, MI
- NPI 1821138124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1548990922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 N MCNAY CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232838",
"telephone_number": "248-421-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075040",
"telephone_number": "248-853-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOS",
"first_name": "KELLY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.