Individual provider Active NPI

Sandy Anna Diponio, O.D.

  • Optometrist
  • Bloomfield Hills, MI
National Provider Identifier
1801960737
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003814 Issued in MI
Practice address
2550 S Telegraph Rd Ste 100
Bloomfield Hills, MI 48302-0951
Phone
(248) 258-9000
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003814 MI Primary

Addresses

Primary practice location

2550 S Telegraph Rd Ste 100
Bloomfield Hills, MI 48302-0951

Mailing address

33620 Argonne Rd
Farmington Hills, MI 48335-1404
Phone (248) 427-0083

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170606001710 MI Practitioner - Optometry 1759658180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Specialists of Birmingham, PLLCGroup PAC ID 0244209468, 5 clinicians

Practice addresses (Care Compare)

2550 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0951
Phone (248) 258-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1801960737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33620 ARGONNE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351404",
            "telephone_number": "248-427-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020951",
            "telephone_number": "248-258-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPONIO",
        "first_name": "SANDY",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.