Active NPI
Michael A. Biddle, O.D.
- Optometrist
- Jonesville, MI
National Provider Identifier
1730210220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002298
- Practice address
- 461 Olds St
Jonesville, MI 49250-9433 - Phone
- (517) 849-9277
- Fax
- (517) 849-2134
- NPI assigned
- Mar 8, 2007
- Last updated
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 4901002298 | MI | Primary |
Addresses
Primary practice location
461 Olds St
Jonesville, MI 49250-9433
Mailing address
461 Olds St
P.O. Box 129
Jonesville, MI 49250-9433
Phone (517) 849-9277
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0563630001 | Other | MI | DME MEDICARE |
| 35212 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 2220036 | Other | MI | PHP |
| 580002619 | Other | MI | RAILROAD MEDICARE |
| 2844410 | Medicaid | MI | |
| 900C010240 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002298 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith's Family Eye Care | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1730210220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 OLDS ST",
"address_2": "P.O. BOX 129",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492509433",
"telephone_number": "517-849-9277",
"fax_number": "517-849-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 OLDS ST",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492509433",
"telephone_number": "517-849-9277",
"fax_number": "517-849-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDDLE",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME MEDICARE",
"identifier": "0563630001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "35212",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "2220036",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "580002619",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2844410",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "900C010240",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.