Active NPI
Neda Berenjian
- Optometrist
- Ann Arbor, MI
National Provider Identifier
1689101263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005503
- Practice address
- 3076 Geddes Ave
Ann Arbor, MI 48104-2716 - Phone
- (734) 904-4212
- Fax
- (734) 904-4212
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005503 | MI | Primary |
Addresses
Primary practice location
3076 Geddes Ave
Ann Arbor, MI 48104-2716
Mailing address
3076 Geddes Ave
Ann Arbor, MI 48104-2716
Phone (734) 904-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1004 Salt Springs Dr
Saline, MI 48176-1813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005503 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1689101263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3076 GEDDES AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042716",
"telephone_number": "734-904-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3076 GEDDES AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042716",
"telephone_number": "734-904-4212",
"fax_number": "734-904-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENJIAN",
"first_name": "NEDA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.
- 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.