NPIMap

Organization Active NPI

Eye Care Associates of Owosso, P.C.

Doing business as Drs. Ball, Seelye, & Maki

  • Optometrist
  • Owosso, MI
National Provider Identifier
1578690707
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901 Issued in MI
Legal business name
EYE CARE ASSOCIATES OF OWOSSO, P.C.
Doing business as
Drs. Ball, Seelye, & Maki
Practice address
317 S Elm St
Suite 210
Owosso, MI 48867-2636
Phone
(989) 723-1101
Fax
(989) 723-1665
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Matthew John Maki, O.D.NPI 1023036159
Title
Owner
Phone
(989) 723-1101

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901 MI Primary

Addresses

Primary practice location

317 S Elm St
Suite 210
Owosso, MI 48867-2636

Mailing address

317 S Elm St
Suite 210
Owosso, MI 48867-2636
Phone (989) 723-1101

Other identifiers 3

IdentifierTypeStateIssuer
1699252MedicaidMI
1699261MedicaidMI
4723404MedicaidMI

Other names 1

  • Drs. Ball, Seelye, & Maki Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813001216 MI Part B Supplier - Clinic/Group Practice 5193798593 Receives reassigned benefits from 4 practitioners
Practice locations: East Lansing, MI; Owosso, MI; Mason, MI

National Provider Directory

National Provider Directory

Locations

317 S Elm St
Ste 210
Owosso, MI 48867
Phone (517) 723-1101

307 N Ball St
Owosso, MI 48867
Phone (989) 723-1101

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1578690707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ELM ST",
            "address_2": "SUITE 210",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672636",
            "telephone_number": "989-723-1101",
            "fax_number": "989-723-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S ELM ST",
            "address_2": "SUITE 210",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672636",
            "telephone_number": "989-723-1101",
            "fax_number": "989-723-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF OWOSSO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-723-1101",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699252",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699261",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4723404",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Ball, Seelye, & Maki",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.