Michael John Engelman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005475 Issued in MI

Practice address

3385 S Center Rd
Burton, MI 48519-1457

Phone

(810) 244-3434

NPI assigned

Mar 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Engelman Vision Associates PLLC

  • Optometrist
  • Burton, MI
  • NPI 1396355871
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1770119190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 WESTVIEW DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399748",
            "telephone_number": "810-341-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457",
            "telephone_number": "810-244-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMAN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Provider Group PC
• Aniya Domynique Ellison
• Abusufian Eltaib Eltahir, B-PHARM
• Engelman Vision Associates PLLC
• Mark D. Engelman, O.D.
• Skilar Rae Engman
• Jennifer E. Ervin, ACNP-BC, MSN, RN
• Amanda Nicole Escalera-Torres, RDN
• Sara Esch, WHNP
• Alysia Evans

• Optometrist in Burton, MI
• Providers in Burton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.