Individual provider Active NPI

Emelie Joy Fergason, O.D.

  • Optometrist
  • East Lansing, MI
National Provider Identifier
1619328226
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005171 Issued in MI
Practice address
2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone
(517) 337-1668
Fax
(517) 337-1779
NPI assigned
Jun 24, 2016
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005171 MI Primary

Addresses

Primary practice location

2001 Coolidge Rd
East Lansing, MI 48823-1378

Mailing address

2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone (517) 337-0316

Other practice location 1

1005 Charlevoix Dr Ste 200
Grand Ledge, MI 48837-8186
Phone (517) 627-3030

Other practice location 2

2790 W Grand River Ave Ste 200
Howell, MI 48843-8424
Phone (517) 548-3571

Other practice location 3

1535 E Broomfield St
MT Pleasant, MI 48858-4489
Phone (989) 772-3339

Other practice location 4

5100 Marsh Rd Ste H
Okemos, MI 48864-1195
Phone (517) 349-0150

Other practice location 5

3600 Capital Ave SW Ste 203
Battle Creek, MI 49015-9393
Phone (269) 979-6383

Other identifiers 1

IdentifierTypeStateIssuer
4901005171OtherMISTATE LICENSE

Other names 1

  • Emelie Joy Phillips Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emelie.phillips.p1@direct.lansingophthalmology.nextgenshare.com Lansing Ophthalmology, P.C.

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
I20181220002590 MI Practitioner - Optometry 2163706185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Ophthalmology, PCGroup PAC ID 9335041409, 25 clinicians

Practice addresses (Care Compare)

1005 Charlevoix Dr
Suite 200
Grand Ledge, MI 48837-8186
Phone (517) 627-3030

Merit-based Incentive Payment System (MIPS)

Final score
95.76 of 100Reported as individual
Quality
94.05
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005171MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Ophthalmology, P.C. Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Lansing Ophthalmology, P.C. Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Lansing Ophthalmology, PC Optometrist Past Accepting new patients

Locations

3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015
Phone (269) 979-6383

2001 Coolidge Rd
East Lansing, MI 48823
Phone (517) 337-0316

2001 Coolidge Rd
#L
East Lansing, MI 48823
Phone (517) 337-1668

702 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 332-5342

1005 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837

1005 Charlevoix Dr
Ste 200
Grand Ledge, MI 48837
Phone (517) 627-3030

2790 W Grand River Ave
Ste 200
Howell, MI 48843
Phone (517) 548-3382

1535 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 772-3339

1535 E Broomfield St
Ste A
Mt Pleasant, MI 48858
Phone (517) 772-3339

5100 Marsh Rd
Ste H
Okemos, MI 48864
Phone (517) 349-0150

Interoperability endpoints

  • Direct secure messaging: emelie.phillips.p1@direct.lansingophthalmology.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: phillips.emelie.p1@direct.lansingophthalmology.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1619328226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-0316",
            "fax_number": "517-337-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Charlevoix Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488378186",
            "country_code": "US",
            "telephone_number": "517-627-3030",
            "fax_number": "517-627-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 W Grand River Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438424",
            "country_code": "US",
            "telephone_number": "517-548-3571",
            "fax_number": "517-545-2543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 E Broomfield St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488584489",
            "country_code": "US",
            "telephone_number": "989-772-3339",
            "fax_number": "989-772-4846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Marsh Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641195",
            "country_code": "US",
            "telephone_number": "517-349-0150",
            "fax_number": "517-349-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Capital Ave SW Ste 203",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490159393",
            "country_code": "US",
            "telephone_number": "269-979-6383",
            "fax_number": "269-979-6381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGASON",
        "first_name": "EMELIE",
        "middle_name": "JOY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4901005171",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emelie.phillips.p1@direct.lansingophthalmology.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Lansing Ophthalmology, P.C.",
            "address_1": "2001 Coolidge Rd",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488231378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMELIE",
            "last_name": "PHILLIPS",
            "middle_name": "JOY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.