Individual provider Active NPI

Wendy Nielubowicz, O.D.

  • Optometrist
  • Oxford, MI
National Provider Identifier
1568401768
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004321 Issued in MI
Practice address
89 S Washington St
Oxford, MI 48371
Phone
(810) 908-7104
NPI assigned
Jun 5, 2006
Last updated
May 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004321 MI Primary

Addresses

Primary practice location

89 S Washington St
Oxford, MI 48371

Mailing address

89 S Washington St
Oxford, MI 48371-4979
Phone (248) 628-3441

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
I20060809000540 MI Practitioner - Optometry 8628071719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Walton and Becker Eyecare PCGroup PAC ID 5991886111, 2 clinicians

Practice addresses (Care Compare)

89 S Washington St
Oxford, MI 48371-4979
Phone (248) 628-3441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Oxford, PLLC Optometrist CurrentSince May 17, 2025 Accepting new patients
DRS Walton & Becker Eyecare PC Optometrist CurrentSince Mar 15, 2015 Accepting new patients
Shelby Eyecare Associates PC Optometrist PastSince Dec 23, 2014 Accepting new patients
Eyewear Detroit Company Optometrist PastSince Jul 1, 2017 Accepting new patients

Locations

837 S Lapeer Rd
Ste 101
Oxford, MI 48371
Phone (248) 628-3441

Organizations & group practices 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1568401768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714979",
            "telephone_number": "248-628-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "48371",
            "telephone_number": "810-908-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELUBOWICZ",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.