Active NPI
Annessa M Dix, OD
- Optometrist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AD000806
- Practice address
- 750 E Beltline Ave NE
Grand Rapids, MI 49525-6049 - Phone
- (616) 949-2600
- NPI assigned
- Nov 3, 2006
- Last updated
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AD000806 | MI | Primary |
Addresses
Primary practice location
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Mailing address
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 949-2600
Other names 1
- Mrs. Annessa M Allison
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Walker VW NW
Walker, MI 49544-9139
Phone (616) 949-2600
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 588-6506
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.03 of 100
- Quality
- 85.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AD000806 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gro Optical, LLC | Past | Accepting new patients | |
| Grand Rapids Eye Institute, PLC | Optometrist | Past | Accepting new patients |
| Eye Center of Lenawee P.C. | Optometrist | Past | Accepting new patients |
| DRS. Ravin, Birndorf & Ravin, Inc. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- annessa.dix.p1@direct.grophthalmology.nextgenshare.com
Organizations & group practices 5
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.
-
dba Grand Rapids Ophthalmology
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
-
dba Specialty Eye Institute
- Ophthalmology Physician
- Toledo, OH
- NPI 1316043110
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1720167323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256049",
"telephone_number": "616-949-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256049",
"telephone_number": "616-949-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIX",
"first_name": "ANNESSA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "AD000806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNESSA",
"last_name": "ALLISON",
"middle_name": "M",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.