Active NPI
Brian Schmidt, O.D.
- Optometrist
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004575
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004575 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcor LLC | Optometrist | Current | Accepting new patients |
| Clarity Oakland WL, PLLC | Optometrist | Current | Accepting new patients |
| Clarity Oakland SL, PLLC | Optometrist | Current | Accepting new patients |
| Pcor, LLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- South Lyon, MI
- NPI 1780380576
-
- Optometrist
- Walled Lake, MI
- NPI 1336845122
-
- Optometrist
- Troy, MI
- NPI 1720033343
-
- Optometrist
- Troy, MI
- NPI 1801122460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.