Individual provider Active NPI

Peter Joseph Merchand, O.D.

  • Optometrist
  • Sault Sainte Marie, MI
National Provider Identifier
1699020693
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004729 Issued in MI
Practice address
3360 I 75 Business Spur
Sault Sainte Marie, MI 49783-3605
Phone
(906) 635-0861
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004729 MI Primary

Addresses

Primary practice location

3360 I 75 Business Spur
Sault Sainte Marie, MI 49783-3605

Mailing address

3360 I 75 Business Spur
Sault Sainte Marie, MI 49783-3605
Phone (906) 635-0861

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
I20120725000868 MI Practitioner - Optometry 4688830235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sault Vision Clinic PCGroup PAC ID 3678691763, 2 clinicians

Practice addresses (Care Compare)

3360 I 75 Business Spur
Sault Sainte Marie, MI 49783-3605
Phone (906) 635-0861

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
Sault Vision Clinic, P.C. Optometrist CurrentSince Jul 19, 2012 Accepting new patients

Locations

3360 I 75 Business Spur
Sault South Marie, MI 49783
Phone (906) 623-7258

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1699020693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 I 75 BUSINESS SPUR",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833605",
            "telephone_number": "906-635-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 I 75 BUSINESS SPUR",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833605",
            "telephone_number": "906-635-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHAND",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.