Todd Staniszewski OD PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

4901003704 Issued in MI

Legal business name

TODD STANISZEWSKI OD PC

Practice address

5874 Dixie Hwy
Clarkston, MI 48346-3358

Phone

(248) 620-1100

Fax

(248) 620-1196

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Janet Hurst

Title

Billing

Phone

(248) 620-1100

Specialties & licenses 1

Addresses

Other names 1

• Advanced Eyecare of Michigan Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nora Clancy, O.D.

  • Optometrist
  • Clarkston, MI
  • NPI 1477780658
  Medicare reassignment Care Compare group NPD
• Todd Edward Staniszewski, O.D.

  • Optometrist
  • Clarkston, MI
  • NPI 1801806856
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1730347808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5874 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463358",
            "telephone_number": "248-620-1100",
            "fax_number": "248-620-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5874 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463358",
            "telephone_number": "248-620-1100",
            "fax_number": "248-620-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD STANISZEWSKI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "248-620-1100"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "4901003704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eyecare of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Thrasher, BT
• Jennifer Lynn Thrift, LPC
• Tiffany Danyal Clarkston PLLC
• Laci-Blaine Tobar, LPC
• Anna Marie Tobin, PA-C
• Holly Tokarczyk
• Talia Tomasoski
• Rhonda Kay Tomei
• Susan Elizabeth Tong, MPT
• Kimberly R Touchstone, RN

• Preferred Provider Organization in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.