Max Harris Engelman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002958 Issued in MI

Practice address

1323 Spring St
Petoskey, MI 49770-8720

Phone

(231) 439-3937

Fax

(231) 439-9058

NPI assigned

Aug 1, 2006

Last updated

May 6, 2014By 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

Other identifiers 3

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

New England College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoptikal LLC

  dba Shopko Optical 4010

  • Eyewear Supplier
  • Marquette, MI
  • NPI 1578129094

  Optometrist

  Medicare reassignment Care Compare group NPD
• Timothy S Jarvi MD PC

  dba Eye Specialists of Northern Michigan

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1821028846
  Medicare reassignment NPD
• Max H Engelman

  • Optometrist
  • Boyne City, MI
  • NPI 1073409090
  NPD Authorized official
• Vision Max PC

  • Optometrist
  • Petoskey, MI
  • NPI 1790978831
  Authorized official Same address or phone
• Shoptikal LLC

  dba Shopko Optical 4016

  • Eyewear Supplier
  • Escanaba, MI
  • NPI 1598321911

  Optometrist

  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Gilbert, AZ
  • NPI 1023691250
  NPD (past)
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  NPD (past)
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  NPD (past)
• Visionworks Inc

  dba Visionworks

  • Eyewear Supplier
  • Gilbert, AZ
  • NPI 1306099643
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1730196262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708720",
            "telephone_number": "231-439-3937",
            "fax_number": "231-439-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708720",
            "telephone_number": "231-439-3937",
            "fax_number": "231-439-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMAN",
        "first_name": "MAX",
        "middle_name": "HARRIS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3522537",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900B410480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE WPS",
            "identifier": "P50250001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alan Ellsworth, DDS
• Walter Emling, RPH
• Empowering the Best LLC
• Margaret-Anne Endlein, DPT, ATC
• Deanna Marie Engelhart, FNP-C
• Katelyn Engler
• Daniel Paul Engstrom, RPH
• Brenda Marie Ennis, MSW; DCSW
• Eric J Mancini MD, PC (Mancini Orthopedics & Sports Medicine)
• Benjamin Joel Ernsberger

• Optometrist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.