Todd Edward Staniszewski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003704 Issued in MI

Practice address

5874 Dixie Hwy
Clarkston, MI 48346-3358

Phone

(248) 620-1100

Fax

(248) 620-1196

NPI assigned

Aug 9, 2006

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

Illinois College of Optometry at Chicago, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Todd Staniszewski OD PCGroup PAC ID 6507992856, 2 clinicians

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.

• Todd Staniszewski OD PC

  dba Advanced Eyecare of Michigan

  • Preferred Provider Organization
  • Clarkston, MI
  • NPI 1730347808
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1801806856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5874 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463358",
            "telephone_number": "248-620-1100",
            "fax_number": "248-620-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5874 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463358",
            "telephone_number": "248-620-1100",
            "fax_number": "248-620-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISZEWSKI",
        "first_name": "TODD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sprout Pediatric Speech and Language Therapy
• Shelly Chumbler Spurgess, O.D.
• Michael E Stachecki, M.D
• Mishayla L Stacy
• Tameka Shante Stagger
• Oliwia Starbala
• Valerie Stauffer, LLMSW
• Nicole Marie Stayton, MSW, LMSW
• Veslav Stecevic, MD
• Sharon Steinhelper, CSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.