Jeffrey Scott Dudovitz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003921 Issued in MI

Practice address

6650 Highland Rd
118
Waterford, MI 48327-1660

Phone

(248) 666-3377

Fax

(248) 666-4332

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdudovitz@jsdudovitz.emadirect.md

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.

• JS Dudovitz, Inc

  • Optometrist
  • Waterford, MI
  • NPI 1225209893
  Medicare reassignment NPD Authorized official
• Wce, LLC

  • Optometrist
  • Detroit, MI
  • NPI 1376613653
  NPD (past)
• Wce, LLC

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
  • NPI 1952455727
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1811936784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 HIGHLAND RD",
            "address_2": "118",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-666-3377",
            "fax_number": "248-666-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 HIGHLAND RD",
            "address_2": "118",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271660",
            "telephone_number": "248-666-3377",
            "fax_number": "248-666-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDOVITZ",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4535834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900F33411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shanna Lynn Driscoll, RN, BSN
• Zachary Drobek
• Tamara Duff, NP-C
• Laclinda Bahea Duncan, LLMSW
• Monica L. Duncan, LMSW, ACSW
• India Dunlap
• Rachel Mental Health Dupuis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.