Organization Active NPI

Smarch Eyecare Associates, PLLC

Doing business as Grattan Optometry

  • Optometrist
  • Clarkston, MI
National Provider Identifier
1629301635
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004204 Issued in MI
Legal business name
SMARCH EYECARE ASSOCIATES, PLLC
Doing business as
Grattan Optometry
Practice address
20 W Washington St
Suite 7
Clarkston, MI 48346-1576
Phone
(248) 625-3500
Fax
(248) 625-0025
NPI assigned
Sep 9, 2009
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Dr. Jill Renee Schnurer, ODNPI 1710053152
Title
Member Owner
Phone
(248) 625-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901004204 MI Primary

Addresses

Primary practice location

20 W Washington St
Suite 7
Clarkston, MI 48346-1576

Mailing address

20 W Washington St
Suite 7
Clarkston, MI 48346-1576
Phone (248) 625-3500

Other names 1

  • Grattan Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091005000013 MI Part B Supplier - Clinic/Group Practice 2860538980 Receives reassigned benefits from 2 practitioners
Practice locations: Clarkston, MI

National Provider Directory

National Provider Directory

Locations

20 W Washington St
Ste 7
Clarkston, MI 48346
Phone (248) 625-3500

3 E Washington St
Clarkston, MI 48346
Phone (248) 625-3500

6 Church St
Clarkston, MI 48346

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1629301635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461576",
            "telephone_number": "248-625-3500",
            "fax_number": "248-625-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461576",
            "telephone_number": "248-625-3500",
            "fax_number": "248-625-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARCH EYECARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "SCHNURER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "248-625-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grattan Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.