South Michigan Ophthalmology P C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301073800 Issued in MI

Legal business name

SOUTH MICHIGAN OPHTHALMOLOGY P C

Practice address

830 W Michigan Ave
Marshall, MI 49068-1446

Phone

(269) 781-9822

Fax

(269) 781-9835

NPI assigned

Aug 12, 2008

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darren Paul Hathaway, M.D.NPI 1518028018

Title

President

Phone

(269) 781-9822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_southmichiganophthalmology

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darren Paul Hathaway, M.D.

  • Ophthalmology Physician
  • Marshall, MI
  • NPI 1518028018
  Medicare reassignment Care Compare group NPD Authorized official
• Naiya Panchal, O.D

  • Optometrist
  • Marshall, MI
  • NPI 1225573579
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1629224514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681446",
            "telephone_number": "269-781-9822",
            "fax_number": "269-781-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681446",
            "telephone_number": "269-781-9822",
            "fax_number": "269-781-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MICHIGAN OPHTHALMOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-781-9822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301073800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Emily Smith
• Sara Jordan Smith
• Sandra Snyder
• Alyssa Sollenberger, D.C.
• South Central Ear Nose and Throat Associates PC
• Southern Michigan Doulas & Childbirth Education
• Southern Michigan Orthopaedics, PC
• Dustann Raye Spalding, FNP-C
• Spartan Podiatry PC
• Sarah Sprouse

• Clinic/Center in Marshall, MI
• Providers in Marshall, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.