Organization Active NPI

Okemos Optometry,PC

  • Optometrist
  • Okemos, MI
National Provider Identifier
1750491213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003031 Issued in MI
Legal business name
OKEMOS OPTOMETRY,PC
Practice address
2080 Hamilton Rd
Okemos, MI 48864-2105
Phone
(517) 349-8888
Fax
(517) 349-1788
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leonard Sherman Silverman, O.D.NPI 1295737302
Title
President
Phone
(517) 349-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003031 MI Primary

Addresses

Primary practice location

2080 Hamilton Rd
Okemos, MI 48864-2105

Mailing address

2080 Hamilton Rd
Okemos, MI 48864-2105
Phone (517) 349-8888

Other identifiers 1

IdentifierTypeStateIssuer
2939273MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000496 MI Part B Supplier - Clinic/Group Practice 0749226553 Receives reassigned benefits from 3 practitioners
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Locations

2080 Hamilton Rd
Okemos, MI 48864
Phone (517) 349-8888

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750491213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642105",
            "telephone_number": "517-349-8888",
            "fax_number": "517-349-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642105",
            "telephone_number": "517-349-8888",
            "fax_number": "517-349-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMOS OPTOMETRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-349-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939273",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.