Individual provider Active NPI

Jeffrey C. Natchez, O.D.

  • Optometrist
  • Burton, MI
National Provider Identifier
1609975085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002920 Issued in MI
Practice address
4152 E Court St
Burton, MI 48509-1718
Phone
(810) 743-4400
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002920 MI Primary

Addresses

Primary practice location

4152 E Court St
Burton, MI 48509-1718

Mailing address

13154 Merganzer CT
Linden, MI 48451-8413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211222000553 TX Practitioner - Optometry 8325146681
I20240807004525 PA Practitioner - Optometry 8325146681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002920MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
20/20 Vision Services PC Optometrist CurrentSince Jul 22, 2024 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

20 Peachtree Ct
Ste 103H
Holbrook, NY 11741
Phone (201) 572-4039

1887 Elmira St
Sayre, PA 18840
Phone (570) 888-3729

Organizations & group practices 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609975085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13154 MERGANZER CT",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091718",
            "telephone_number": "810-743-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATCHEZ",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.