Individual provider Active NPI

Abigail Elizabeth Renteria-Contreras, OD

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1811515190
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005460 Issued in MI
Practice address
700 Court St
Saginaw, MI 48602-4251
Phone
(989) 921-6730
Fax
(989) 771-7044
NPI assigned
Jul 13, 2020
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005460 MI Primary

Addresses

Primary practice location

700 Court St
Saginaw, MI 48602-4251

Mailing address

2835 Midland Rd
Saginaw, MI 48603-2760
Phone (989) 323-1608

Other practice location 1

3275 Tittabawassee Rd
Saginaw, MI 48604-9436
Phone (989) 399-3477

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
I20240606002015 MI Practitioner - Optometry 2264974138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005460MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince May 30, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince May 30, 2024 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Jul 1, 2020 Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

700 Court St
Saginaw, MI 48602
Phone (989) 907-2761

Interoperability endpoints

  • Direct secure messaging: abigail.renteria-contreras.1@27771.direct.athenahealth.com

Organizations & group practices 4

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1811515190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 MIDLAND RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032760",
            "telephone_number": "989-323-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COURT ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024251",
            "telephone_number": "989-921-6730",
            "fax_number": "989-771-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3275 Tittabawassee Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486049436",
            "country_code": "US",
            "telephone_number": "989-399-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTERIA-CONTRERAS",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.