Individual provider Active NPI

Marika Patterson

  • Optometrist
  • Livonia, MI
National Provider Identifier
1740697150
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004849 Issued in MI
Practice address
16128 Middlebelt Rd
Livonia, MI 48154-3338
Phone
(734) 421-2844
Fax
(734) 421-2878
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004849 MI Primary

Addresses

Primary practice location

16128 Middlebelt Rd
Livonia, MI 48154-3338

Mailing address

140 Macomb PL
Mount Clemens, MI 48043-5651
Phone (586) 464-1479

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001076 MI Practitioner - Optometry 4183844699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Sep 1, 2014 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Sep 1, 2014 Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients

Locations

3552 Highway 138 SE
Ste 200
Stockbridge, GA 30281

22561 Gratiot Ave
Eastpointe, MI 48021
Phone (586) 350-2100

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

16128 Middlebelt Rd
Livonia, MI 48154
Phone (734) 421-2844

1314 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0195

140 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 464-1479

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

22320 Goddard Rd
Taylor, MI 48180
Phone (313) 299-8870

3150 Alpine Ave NW
Ste F
Walker, MI 49544
Phone (616) 363-9831

29660 S Wixom Rd
Wixom, MI 48393
Phone (248) 313-5500

2742 Washtenaw Rd
Ypsilanti, MI 48197
Phone (734) 572-8822

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1740697150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MACOMB PL",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435651",
            "telephone_number": "586-464-1479",
            "fax_number": "586-464-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16128 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543338",
            "telephone_number": "734-421-2844",
            "fax_number": "734-421-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MARIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.