Individual provider Active NPI

Brian Schmidt, O.D.

  • Optometrist
  • Southgate, MI
National Provider Identifier
1578883922
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004575 Issued in MI
Practice address
18900 Eureka Rd
Southgate, MI 48195-2985
Phone
(734) 324-0996
Fax
(734) 284-9335
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004575 MI Primary

Addresses

Primary practice location

18900 Eureka Rd
Southgate, MI 48195-2985

Mailing address

655 W 13 Mile Rd
Madison Heights, MI 48071-1850
Phone (248) 577-3659

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
I20110818000629 MI Practitioner - Optometry 1254501752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Oakland WL PLLCGroup PAC ID 5991161812, 6 clinicians
Clarity Oakland SL PLLCGroup PAC ID 0840645867, 3 clinicians

Practice addresses (Care Compare)

519 N Pontiac TRL
Walled Lake, MI 48390-3442
Phone (248) 624-1707

608 N Lafayette St
South Lyon, MI 48178-2001
Phone (248) 437-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004575MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Jul 25, 2011 Accepting new patients
Clarity Oakland WL, PLLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Clarity Oakland SL, PLLC Optometrist CurrentSince Sep 11, 2023 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jul 25, 2011 Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

655 W 13 Mile Rd
Madison Hts, MI 48071
Phone (248) 577-3616

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

608 N Lafayette St
South Lyon, MI 48178
Phone (248) 437-3351

18900 Eureka Rd
Southgate, MI 48195
Phone (734) 324-0996

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

519 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 437-3351

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: bschmidt11098@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1578883922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711850",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952985",
            "telephone_number": "734-324-0996",
            "fax_number": "734-284-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.