Individual provider Active NPI

Darren Lee Meyer, OD

  • Optometrist
  • Sturgis, MI
National Provider Identifier
1821099367
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004365 Issued in MI
Practice address
26289 W Chicago Rd
Sturgis, MI 49091-8706
Phone
(269) 651-7874
Fax
(269) 651-4154
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004365 MI Primary

Addresses

Primary practice location

26289 W Chicago Rd
Sturgis, MI 49091-8706

Mailing address

26289 W Chicago Rd
PO Box 128
Sturgis, MI 49091-8706
Phone (269) 651-7874

Other identifiers 1

IdentifierTypeStateIssuer
4863666MedicaidMI

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
I20070921000277 MI Practitioner - Optometry 5294829297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care West, P.C.Group PAC ID 5092700393, 2 clinicians

Practice addresses (Care Compare)

26289 US Hwy 12
Sturgis, MI 49091-9702
Phone (269) 651-7874

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004365MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care West, P.C. Optometrist CurrentSince Dec 14, 2006 Accepting new patients

Locations

26289 US Highway 12
Sturgis, MI 49091
Phone (269) 651-7874

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1821099367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26289 W CHICAGO RD",
            "address_2": "PO BOX 128",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918706",
            "telephone_number": "269-651-7874",
            "fax_number": "269-651-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26289 W CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918706",
            "telephone_number": "269-651-7874",
            "fax_number": "269-651-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DARREN",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4863666",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.