Anne M. Pfeffer O.D., PLLC
Organization Active NPI Optometrist · Sparta, MI
NPI 1689904682 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1689904682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004322 (MI)
- Legal business name
- ANNE M. PFEFFER O.D., PLLC
- Practice address
- 343 S. Union St
Sparta, MI 49345-1531 - Phone
- (616) 887-2020
- Fax
- (616) 887-3777
- NPI assigned
- Jan 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Anne Michelle Einig, O.D.
- Title
- Doctor/Owner
- Phone
- (616) 887-2020
Practitioners 2
-
Anne Michelle Einig, O.D.
-
Von Scott Hieneman, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100604000292 | MI | Part B Supplier - Clinic/Group Practice | 5991835787 |
Receives reassigned benefits from 1 practitioner Practice locations: Sparta, MI |
National Provider Directory
Locations
570 S State St
Ste B
Sparta, MI 49345
Phone (616) 887-2020
343 S Union St
Sparta, MI 49345
Phone (616) 887-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4901004322 | MI | Yes |
Addresses
Primary practice location
343 S. Union St
Sparta, MI 49345-1531
Mailing address
343 S. Union St
Sparta, MI 49345-1531
Phone (616) 887-2020
Other names
- Northwest Optometry
Other providers in Sparta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.