Individual provider Active NPI

Brian Eric Pierce, OD

  • Optometrist
  • Canton, MI
National Provider Identifier
1699830646
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003645 Issued in MI
Practice address
325 N Lilley Rd
Canton, MI 48187-3908
Phone
(734) 981-2700
Fax
(734) 981-0198
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003645 MI Primary

Addresses

Primary practice location

325 N Lilley Rd
Canton, MI 48187-3908

Mailing address

325 N Lilley Rd
Canton, MI 48187-3908
Phone (734) 981-2700

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
I20040515000237 MI Practitioner - Optometry 7911997523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Stadium Opticians IncGroup PAC ID 6103815204, 2 clinicians
Vision Center of Canton PCGroup PAC ID 6002971538, 3 clinicians

Practice addresses (Care Compare)

2335 W Stadium Blvd
Ann Arbor, MI 48103-3844
Phone (734) 663-0870

325 N Lilley Rd
Canton, MI 48187-3908
Phone (734) 981-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003645MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stadium Opticians, Inc. Optometrist CurrentSince Feb 1, 2004 Accepting new patients

Locations

2335 W Stadium Blvd
Ann Arbor, MI 48103

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1699830646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873908",
            "telephone_number": "734-981-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873908",
            "telephone_number": "734-981-2700",
            "fax_number": "734-981-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BRIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.