Corbett Walter Amburgey, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004183 Issued in MI

Practice address

5575 Beckley Rd
Battle Creek, MI 49015-4162

Phone

(269) 979-1277

Fax

(269) 979-8040

NPI assigned

Feb 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillsdale Optometry PCGroup PAC ID 3779720792, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hillsdale Optometry PC

  • Optometrist
  • Hillsdale, MI
  • NPI 1689918120
  Medicare reassignment Care Compare group Authorized official
• Brichta & Brichta PC

  • Optometrist
  • Hillsdale, MI
  • NPI 1205944774
  NPD (past)
• Luxottica Retail North America Inc

  dba Sears Optical #C0386

  • Eyewear Supplier
  • Battle Creek, MI
  • NPI 1881751220
  NPD (past)
• Michael a Biddle O.D., P.C., Inc

  dba Jonesville Eye Care

  • Optometrist
  • Jonesville, MI
  • NPI 1629112750
  NPD (past)
• Mid Michigan Eye Care Center, PC

  dba Specialty Eye Institute

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  NPD (past)
• Smith's Family Eye Care

  dba Jonesville Eye Care

  • Optometrist
  • Jonesville, MI
  • NPI 1134557358
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700920311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E HALLETT ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492422080",
            "telephone_number": "517-439-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154162",
            "telephone_number": "269-979-1277",
            "fax_number": "269-979-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "CORBETT",
        "middle_name": "WALTER",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Diane Alvarez
• Sariem Am, DNP, CPNP
• Lori Lee Ambler
• Robert John Ambler
• Ambulatory Surgery Associates, LLC (Brookside Surgery Center)
• America's Best Contacts & Eyeglasses
• Kathryn Amor, PHARM.D
• Anne Ampey, MSW
• Emilie Jean Amundson, CRNA
• Sandra Obianuju Anazor, MD, MPH

• Optometrist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.