Individual provider Active NPI

Kristin Bratek, OD

  • Optometrist
  • Sterling Heights, MI
National Provider Identifier
1639520141
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004985 Issued in MI
Practice address
44344 Dequindre Rd
Suite 110
Sterling Heights, MI 48314-1038
Phone
(586) 884-5160
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004985 MI Primary

Addresses

Primary practice location

44344 Dequindre Rd
Suite 110
Sterling Heights, MI 48314-1038

Mailing address

44344 Dequindre Rd
Suite 110
Sterling Heights, MI 48314-1038
Phone (586) 884-5160

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
I20160715001887 MI Practitioner - Optometry 5092007732 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
University Eye Care PCGroup PAC ID 3577562412, 4 clinicians

Practice addresses (Care Compare)

44344 Dequindre Rd
Suite 110
Sterling Heights, MI 48314-1038
Phone 5868845160201

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as group
Quality
95.1
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004985MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Care, PC Optometrist CurrentSince Jan 16, 2017 Accepting new patients

Locations

44344 Dequindre Rd
Ste 110
Sterling Hts, MI 48314
Phone (586) 726-2020

Interoperability endpoints

  • Direct secure messaging: kbratek@uec.intellechartdirect.net

Organizations & group practices 1

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1639520141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-884-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-884-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATEK",
        "first_name": "KRISTIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.