Andrew S Riemer DO PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ANDREW S RIEMER DO PC

Practice address

4140 W Shelby Rd
Shelby, MI 49455-9660

Phone

(231) 861-4567

Fax

(231) 861-5758

NPI assigned

Jul 23, 2006

Organization subpart

No

Name

Andrew S Riemer, DO

Title

Ceo

Phone

(231) 861-4567

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Andrew S Riemer DO PC

  • Ophthalmology Physician
  • Manistee, MI
  • NPI 1528082070
  Same enrollment O20040727001267
• Andrew S Riemer DO PC

  • Ophthalmology Physician
  • Ludington, MI
  • NPI 1710908629
  Same enrollment O20040727001267

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

• John Michael Large, O.D.

  • Optometrist
  • Ludington, MI
  • NPI 1710362488
  NPD OPTOMETRIST
• Steven Mark Gould, OD

  • Optometrist
  • Manistee, MI
  • NPI 1588638704
  NPD (past) OPTOMETRIST
• Greg M. Noah, O.D.

  • Optometrist
  • Traverse City, MI
  • NPI 1891789822
  NPD (past) OPTOMETRIST
• Carl Walter Wilberg, D.O.

  • Ophthalmology Physician
  • Manistee, MI
  • NPI 1134108384
  NPD (past) OPHTHALMOLOGY

Medicare fee-for-service enrollment

Enrolled in MI

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2010.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1790706604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312921",
            "telephone_number": "231-845-6261",
            "fax_number": "231-843-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W SHELBY RD",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494559660",
            "telephone_number": "231-861-4567",
            "fax_number": "231-861-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S RIEMER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "RIEMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-861-4567",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "820000297",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4498463",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "900E300160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "180E300150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  OF MICHIGAN",
            "identifier": "900F410030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "180E310290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Hearing Centers, LLC.
• Christine Marie Arnold, RD
• Rosa Jazmin Avilez-Martinez, LMSW-C
• Anne Christine Barton, DNP RN
• Jonathan Bisson, PA
• Susan Bryan, RN,CRNA

• All providers in Shelby, MI
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.