Robert C Layman, OD

Individual provider Active NPI Optometrist · Lambertville, MI

NPI 1699769836 · NPPES record last updated Nov 18, 2021

Key facts

NPI
1699769836
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
4901002-2861 (MI)
Practice address
6650 Summerlyn Lakes Dr
Lambertville, MI 48144-0047
Phone
(734) 854-3937
Fax
(734) 854-5868
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Ohio State University - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert C Layman OD Inc (5 clinicians)

Practice addresses (Care Compare)

6650 Summerlyn Lakes Dr
Lambertville, MI 48144-0050
Phone (734) 854-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20071226000129 MI Practitioner - Optometry 7719985407 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4901002-2861MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Vision Source, PLC Optometrist Current
since Jan 3, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002-2861 MI Yes

Addresses

Primary practice location

6650 Summerlyn Lakes Dr
Lambertville, MI 48144-0047

Mailing address

6650 Summerlyn Lakes Dr
Lambertville, MI 48144-0047
Phone (734) 854-3937

Other identifiers

IdentifierTypeStateIssuer
341585498OtherMIAETNA
03157OtherMIPARAMOUNT
22-01112OtherMIUNITED HEALTH
941931252MedicaidMI
341585498OtherMIVISION SERVICE PLAN
900E865120OtherMIBLUE CROSS BLUE SHIELD

Other providers in Lambertville, MI

All providers in Lambertville, MI · Optometrist in Michigan

Sources for this page

Verify at the official NPI Registry.