Main Street Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003882 Issued in MI

Legal business name

MAIN STREET OPTOMETRY, INC.

Practice address

1245 E. Main St.
Pinckney, MI 48169-8133

Phone

(734) 878-7444

Fax

(734) 878-0678

NPI assigned

Dec 5, 2006

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renee Lynn Laliberte, O.D.NPI 1558346155

Title

Owner

Phone

(734) 878-7444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Main Street Optometry, Inc.

  • Optometrist
  • Dexter, MI
  • NPI 1083772008

  O20040628000264

  Same enrollment

Practitioners 3

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.

• Renee Lynn Laliberte, O.D.

  • Optometrist
  • Dexter, MI
  • NPI 1558346155
  Medicare reassignment Authorized official
• Amanda Marie Himmel, O.D.

  • Optometrist
  • Pinckney, MI
  • NPI 1174143507
  Medicare reassignment NPD
• Robert Ray Baltierra

  • Optometrist
  • Dexter, MI
  • NPI 1013442094
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1801954565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E. MAIN ST.",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698133",
            "telephone_number": "734-878-7444",
            "fax_number": "734-878-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E. MAIN ST.",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698133",
            "telephone_number": "734-878-7444",
            "fax_number": "734-878-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "LALIBERTE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-878-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livingston Family Center
• Livingston Family Center
• Janet D Loesche, LMSW
• Christine Elizabeth Loynes, LBSW, QIDP, QMHP
• Main Street Medical & Counseling Center PLC
• Theresa Marcum
• Violet M Martin, MSW
• Dawn Drumm McCalla, LMSW
• Robin Lyn McDonald-Meinicke, MA
• Sharon Marie McPhail, COTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.