Individual provider Active NPI

Juan Alvarado, O.D.

  • Optometrist
  • Fenton, MI
National Provider Identifier
1689754350
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003993 Issued in MI
Practice address
1535 N Leroy St
Fenton, MI 48430-2791
Phone
(810) 629-3070
Fax
(810) 629-6748
NPI assigned
Oct 17, 2006
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003993 MI Primary

Addresses

Primary practice location

1535 N Leroy St
Fenton, MI 48430-2791

Mailing address

1535 N Leroy St
Fenton, MI 48430-2791
Phone (810) 629-3070

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
I20100602000055 MI Practitioner - Optometry 1153450069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Alvarado, P.C.Group PAC ID 0345379251, 2 clinicians

Practice addresses (Care Compare)

212 W Silver Lake Rd
Fenton, MI 48430-2606
Phone (810) 629-3070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Alvarado, P.C. Optometrist CurrentSince Aug 6, 2001 Accepting new patients

Locations

212 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 629-3070

Organizations & group practices 4

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1689754350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302791",
            "telephone_number": "810-629-3070",
            "fax_number": "810-629-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302791",
            "telephone_number": "810-629-3070",
            "fax_number": "810-629-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.