Active NPI
John Nicholas Oltean, DO
- Ophthalmology Physician
- Muskegon, MI
National Provider Identifier
1689658403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5101012139
- Practice address
- 1266 E Sherman Blvd
Muskegon, MI 49444-1847 - Phone
- (231) 739-9009
- Fax
- (231) 733-0566
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5101012139 | MI | Primary |
Addresses
Primary practice location
1266 E Sherman Blvd
Muskegon, MI 49444-1847
Mailing address
1266 E Sherman Blvd
Muskegon, MI 49444-1847
Phone (231) 739-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3242533 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.4 of 100
- Quality
- 89.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 45.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Optical, LLC | Past | Accepting new patients | |
| Shoreline Optical, LLC | Past | Accepting new patients | |
| Shoreline Optical, LLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Eyewear Supplier
- Grand Haven, MI
- NPI 1184781676
-
- Eyewear Supplier
- Fremont, MI
- NPI 1326383506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1689658403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441847",
"telephone_number": "231-739-9009",
"fax_number": "231-733-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441847",
"telephone_number": "231-739-9009",
"fax_number": "231-733-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLTEAN",
"first_name": "JOHN",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "5101012139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3242533",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.