Individual provider Active NPI

Janel C Norfleet, OD

  • Optometrist
  • Bay City, MI
National Provider Identifier
1699759126
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003865 Issued in MI
Practice address
3941 Traxler CT
Suite 100
Bay City, MI 48706-9600
Phone
(989) 684-7121
Fax
(989) 684-7677
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003865 MI Primary

Addresses

Primary practice location

3941 Traxler CT
Suite 100
Bay City, MI 48706-9600

Mailing address

3941 Traxler CT
Suite 100
Bay City, MI 48706-9600
Phone (989) 684-7121

Other identifiers 2

IdentifierTypeStateIssuer
9002910440OtherMIBCBS
944359737MedicaidMI

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
I20060403000020 MI Practitioner - Optometry 5799793733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Experience Your Eye Specialist PLCGroup PAC ID 5092840769, 2 clinicians

Practice addresses (Care Compare)

3941 Traxler CT
Suite 100
Bay City, MI 48706-9600
Phone (989) 684-7121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003865MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Experience Your Eye Specialist, PLC Optometrist CurrentSince Jan 2, 2002 Accepting new patients
Experience Your Eye Specialist Optometrist CurrentSince Jan 2, 2002 Accepting new patients

Locations

3941 Traxler Ct
Ste 100
Bay City, MI 48706
Phone (989) 684-7121

529 S Main St
Ste A
Standish, MI 48658
Phone (989) 846-6009

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1699759126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 TRAXLER CT",
            "address_2": "SUITE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069600",
            "telephone_number": "989-684-7121",
            "fax_number": "989-684-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 TRAXLER CT",
            "address_2": "SUITE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069600",
            "telephone_number": "989-684-7121",
            "fax_number": "989-684-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORFLEET",
        "first_name": "JANEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9002910440",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944359737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.