Individual provider Active NPI

Eric L Schweihofer, OD

  • Optometrist
  • Grand Blanc, MI
National Provider Identifier
1811062805
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003992 Issued in MI
Practice address
12606 Holly Road
Grand Blanc, MI 48439
Phone
(810) 694-3652
Fax
(810) 694-0963
NPI assigned
Nov 22, 2006
Last updated
Oct 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003992 MI Primary

Addresses

Primary practice location

12606 Holly Road
Grand Blanc, MI 48439

Mailing address

12606 Holly Road
Grand Blanc, MI 48439
Phone (810) 694-3652

Other identifiers 3

IdentifierTypeStateIssuer
0993797OtherMIHEALTH PLUS OF MI
900B563850OtherMIBCBS
4861160MedicaidMI

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
I20110222000840 MI Practitioner - Optometry 1052342797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Blanc Vision Clinic PCGroup PAC ID 9739119793, 4 clinicians

Practice addresses (Care Compare)

12606 Holly Rd
Grand Blanc, MI 48439-2447
Phone (810) 694-3652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003992MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Blanc Vision Clinic P.C. Optometrist CurrentSince Mar 26, 2002 Accepting new patients
Holly Vision Clinic PC Optometrist CurrentSince Nov 18, 2018 Accepting new patients
Iris Eyecare PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients

Locations

403 S Leroy St
Fenton, MI 48430
Phone (810) 694-3652

403 S Leroy St
Ste 1
Fenton, MI 48430

12606 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-3652

1121 N Saginaw St
Ste 1
Holly, MI 48442
Phone (248) 382-5733

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1811062805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 HOLLY ROAD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-694-3652",
            "fax_number": "810-694-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 HOLLY ROAD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-694-3652",
            "fax_number": "810-694-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEIHOFER",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "0993797",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900B563850",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4861160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.