Individual provider Active NPI

Neil Deledda, O.D.

  • Optometrist
  • Livonia, MI
National Provider Identifier
1689738304
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004194 Issued in MI
Practice address
33400 6 Mile Rd
Livonia, MI 48152-3143
Phone
(734) 421-2020
NPI assigned
Dec 20, 2006
Last updated
Jan 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004194 MI Primary

Addresses

Primary practice location

33400 6 Mile Rd
Livonia, MI 48152-3143

Mailing address

30150 Telegraph Rd Ste 271
Bingham Farms, MI 48025-4521
Phone (248) 395-5175

Other practice location 1

301 W 13 Mile Rd
Madison Heights, MI 48071-1805
Phone (248) 268-1079

Other practice location 2

24241 Michigan Ave
Dearborn, MI 48124-1801
Phone (313) 561-7255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndeledda@osm.intellechartdirect.net

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
I20031114000108 MI Practitioner - Optometry 0840104840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

33400 6 Mile Rd
Livonia, MI 48152-3165
Phone (734) 421-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ophthalmology Specialists, PLLC Optometrist CurrentSince Sep 3, 2017 Accepting new patients
Michigan Ophthalmology Specialists, PLLC Optometrist CurrentSince Sep 3, 2017 Accepting new patients

Locations

30150 Telegraph Rd
Ste 271
Bingham Farms, MI 48025

24241 Michigan Ave
Dearborn, MI 48124
Phone (313) 561-7255

24241 Michigan Ave
Spc Mi
Dearborn, MI 48124

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

33400 6 Mile Rd
Spc Mi
Livonia, MI 48152

301 W 13 Mile Rd
Madison Heights, MI 48071
Phone (248) 268-1079

29201 Telegraph Rd
Ste 101
Southfield, MI 48034
Phone (248) 350-1130

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1689738304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "248-395-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523143",
            "telephone_number": "734-421-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711805",
            "country_code": "US",
            "telephone_number": "248-268-1079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24241 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241801",
            "country_code": "US",
            "telephone_number": "313-561-7255",
            "fax_number": "313-561-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEDDA",
        "first_name": "NEIL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndeledda@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "33400 6 Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481523143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.