Corbett Walter Amburgey, O.D
Individual provider Active NPI Optometrist · Battle Creek, MI
NPI 1700920311 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700920311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004183 (MI)
- Practice address
- 5575 Beckley Rd
Battle Creek, MI 49015-4162 - Phone
- (269) 979-1277
- Fax
- (269) 979-8040
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hillsdale Optometry PC
Practice addresses (Care Compare)
43 S Howell St
Hillsdale, MI 49242-1851
Phone (517) 437-3365
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040121000404 | MI | Practitioner - Optometry | 3678475738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica Retail North America Inc | Past | Accepting new patients | |
| Brichta & Brichta PC | Optometrist | Past |
Accepting new patients |
| Mid Michigan Eye Care Center, PC | Optometrist | Past |
Accepting new patients |
| Smith'S Family Eye Care | Optometrist | Past | Accepting new patients |
| Michael a Biddle O.D., P.C., Inc | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004183 | MI | Yes |
Addresses
Primary practice location
5575 Beckley Rd
Battle Creek, MI 49015-4162
Mailing address
86 E Hallett St
Hillsdale, MI 49242-2080
Phone (517) 439-4136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900A311420 | Other | MI | BLUE CROSS BLUE SHIELD |
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.