Individual provider Active NPI

Deana R Platz, OD

  • Optometrist
  • Big Rapids, MI
National Provider Identifier
1619089935
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003941 Issued in MI
Practice address
650 Linden St
Suite 5
Big Rapids, MI 49307-1880
Phone
(231) 796-0010
Fax
(231) 796-2496
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003941 MI Primary

Addresses

Primary practice location

650 Linden St
Suite 5
Big Rapids, MI 49307-1880

Mailing address

650 Linden St
Suite 5
Big Rapids, MI 49307-1880
Phone (231) 796-0010

Other identifiers 8

IdentifierTypeStateIssuer
0E40039OtherMIBLUE CROSS BLUE SHIELD GROUP
128029001OtherMIADMINISTAR
1619089935OtherMICOMMERCIAL INSURERS
383209247OtherMIVSP
655OtherMISTERLING VISION
900E410210OtherMIBCBS OF MI
CG0293OtherMIMEDICARE RAILROAD GROUP
P00195275OtherMIMEDICARE RAILROAD

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
I20040216001296 MI Practitioner - Optometry 2264327543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapids Ophthalmology, PCGroup PAC ID 0840264354, 4 clinicians

Practice addresses (Care Compare)

491 W Shaw St
Howard City, MI 49329-9401
Phone (231) 937-8206

650 Linden St
Big Rapids, MI 49307-1880
Phone (231) 796-0010

Merit-based Incentive Payment System (MIPS)

Final score
88.75 of 100Reported as group
Quality
92.5
Improvement activities
40
Cost
72.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003941MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapids Ophthalmology, PC Optometrist CurrentSince Jun 7, 2004 Accepting new patients
Rapids Ophthalmology, P.C. Optometrist CurrentSince Jun 7, 2004 Accepting new patients
Blue Sky Vision Eye Care, PC Past Accepting new patients
Smeelink Acquisitions Inc Optometrist Past Accepting new patients

Locations

650 Linden St
Ste 5
Big Rapids, MI 49307
Phone (231) 796-0010

491 W Shaw St
Howard City, MI 49329
Phone (231) 937-8206

491 W Shaw St
Unit A
Howard City, MI 49329
Phone (231) 937-8206

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1619089935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 5",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071880",
            "telephone_number": "231-796-0010",
            "fax_number": "231-796-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 5",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071880",
            "telephone_number": "231-796-0010",
            "fax_number": "231-796-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATZ",
        "first_name": "DEANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP",
            "identifier": "0E40039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "128029001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURERS",
            "identifier": "1619089935",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "383209247",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING VISION",
            "identifier": "655",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "900E410210",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CG0293",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00195275",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.