Individual provider Active NPI

Douglas Leon Totten, O.D.

  • Optometrist
  • Norton Shores, MI
National Provider Identifier
1669563565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003038 Issued in MI
Practice address
951 Seminole Rd
Norton Shores, MI 49441-4341
Phone
(231) 780-4700
Fax
(231) 780-4722
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003038 MI Primary

Addresses

Primary practice location

951 Seminole Rd
Norton Shores, MI 49441-4341

Mailing address

951 Seminole Rd
Norton Shores, MI 49441-4341
Phone (231) 780-4700

Other identifiers 2

IdentifierTypeStateIssuer
4454960MedicaidMI
4298240001OtherDMERC

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
I20040401000402 MI Practitioner - Optometry 9537151337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Professional Eyecare PCGroup PAC ID 7618014937, 6 clinicians

Practice addresses (Care Compare)

22 W Main St
Eyes on Main Fremont
Fremont, MI 49412-1136
Phone (231) 854-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003038MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Professional Eyecare PC Optometrist CurrentSince Mar 5, 2002 Accepting new patients
Hesperia Eyecare LLC Optometrist PastSince Mar 1, 2011 Accepting new patients
Eaton Rapids Eye Care PC Optometrist PastSince Jul 1, 2007 Accepting new patients
Dr. Curtis Eyecare, PC Optometrist PastSince Apr 12, 2004 Accepting new patients

Locations

22 W Main St
Fremont, MI 49412
Phone (231) 780-4700

971 Butternut Dr
Ste C
Holland, MI 49424
Phone (616) 738-8000

951 Seminole Rd
Ste 1
Norton Shores, MI 49441
Phone (231) 780-4700

951 Seminole Rd
Norton Shores, MI 49441
Phone (231) 780-4700

Organizations & group practices 5

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669563565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414341",
            "telephone_number": "231-780-4700",
            "fax_number": "231-780-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414341",
            "telephone_number": "231-780-4700",
            "fax_number": "231-780-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTTEN",
        "first_name": "DOUGLAS",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4454960",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4298240001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.