Organization Active NPI

Andrew S Riemer DO PC

  • Ophthalmology Physician
  • Ludington, MI
National Provider Identifier
1710908629
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ANDREW S RIEMER DO PC
Practice address
5959 Lawndale St
Ludington, MI 49431-2921
Phone
(231) 845-6261
Fax
(231) 843-9171
NPI assigned
Jul 23, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Andrew S Riemer, DONPI 1366429706
Title
Ceo
Phone
(231) 845-6261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

5959 Lawndale St
Ludington, MI 49431-2921

Mailing address

5959 Lawndale St
Ludington, MI 49431-2921
Phone (231) 845-6261

Other identifiers 6

IdentifierTypeStateIssuer
180E300150OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
900E300160OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
180E310290OtherMIBCBS OF MICHIGAN
900F410030OtherMIBCBS OF MICHIGAN
3415009MedicaidMI
820000297OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040727001267 MI Part B Supplier - Clinic/Group Practice 8729058839 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
Practice locations: Cadillac, MI; Ludington, MI; Manistee, MI; Reed City, MI; Shelby, MI
O20100930015516 MI DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 8729058839 Practice locations: Ludington, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Andrew S Riemer DO PC5959 Lawndale St, Ludington, MI 49431-2921(231) 845-6261 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 11, 2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1710908629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312921",
            "telephone_number": "231-845-6261",
            "fax_number": "231-843-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312921",
            "telephone_number": "231-845-6261",
            "fax_number": "231-843-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S RIEMER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "RIEMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-845-6261",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "180E300150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "900E300160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "180E310290",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900F410030",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "820000297",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.