Deborah Lynn Osborne, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003947 Issued in MI

Practice address

388 N 3Rd Ave
Suite I
Fruitport, MI 49415-9785

Phone

(231) 865-9990

Fax

(231) 865-9991

NPI assigned

Nov 29, 2005

Sex

Female

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 2

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Deborah Osborne, O.D., PLLC

  • Optometrist
  • Whitehall, MI
  • NPI 1134365927

  MI, Optometrist

  Medicare reassignment NPD Authorized official
• Fruitport Family Eye Care, PLLC

  • Optometrist
  • Fruitport, MI
  • NPI 1326318734

  MI, Optometrist

  Medicare reassignment NPD Authorized official
• Optics Plus LLC

  • Occupational Vision Optometrist
  • Muskegon, MI
  • NPI 1831434174
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1760465264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 N 3RD AVE",
            "address_2": "SUITE I",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159785",
            "telephone_number": "231-865-9990",
            "fax_number": "231-865-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 N 3RD AVE",
            "address_2": "SUITE I",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159785",
            "telephone_number": "231-865-9990",
            "fax_number": "231-865-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "383515814",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900F110380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sandra Raehtz, DO
• Sharolyn Rankin
• Renewed Life Counseling, LLC

• All providers in Fruitport, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.