Anne M. Nachazel, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301404848 Issued in MI

Practice address

25511 Little Mack Ave
Suite a
St Clair Shores, MI 48081-3372

Phone

(586) 774-2020

Fax

(586) 774-3169

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Anne M. Toal Other name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anne.nachazel.1@26200.direct.athenahealth.com

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.

• Eastside Eye Physicians, PC

  • Ophthalmology Physician
  • Saint Clair Shores, MI
  • NPI 1093814188
  Medicare reassignment NPD Authorized official
• Eastside Eye Physicians, PC

  • Eyewear Supplier
  • Shelby Township, MI
  • NPI 1487782470
  NPD (past) Authorized official
• Eastside Eye Physicians, PC

  • Eyewear Supplier
  • Saint Clair Shores, MI
  • NPI 1629106240
  NPD (past) Authorized official

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1629064183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 LITTLE MACK AVE",
            "address_2": "SUITE A",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813372",
            "telephone_number": "586-774-2020",
            "fax_number": "586-774-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 LITTLE MACK AVE",
            "address_2": "SUITE A",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813372",
            "telephone_number": "586-774-2020",
            "fax_number": "586-774-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHAZEL",
        "first_name": "ANNE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301404848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "1805012611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "TOAL",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kyle John Mylrea, M.D.
• Myrtle C. Means, PH.D., P.C.
• Ashley Myszenski, DPT
• N.B. Chari, M.D., P.C.
• Kayla Nabozny, MA, LLC
• Jeffery Scott Nagel
• Nayna S Nagrecha, MD
• Noura Najor
• Kaumudi Nallan Chakravarthula, P.T
• Farzin Reza Namei, MD

• Ophthalmology Physician in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.