Individual provider Active NPI

Danielle Renae Lefevre, OD

  • Optometrist
  • Dewitt, MI
National Provider Identifier
1821525973
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005046 Issued in MI
Practice address
13151 Schavey Rd
Dewitt, MI 48820-9016
Phone
(517) 669-2945
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005046 MI Primary

Addresses

Primary practice location

13151 Schavey Rd
Dewitt, MI 48820-9016

Mailing address

13151 Schavey Rd
Dewitt, MI 48820-9016
Phone (989) 415-7121

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
I20170821001854 MI Practitioner - Optometry 6901178342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Eye and Vision Care, LLCGroup PAC ID 1759550296, 9 clinicians

Practice addresses (Care Compare)

13151 Schavey Rd
Dewitt, MI 48820-9016
Phone (517) 669-2945

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005046MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holt Eye Care, PLLC Optometrist CurrentSince Jul 15, 2017 Accepting new patients
Primary Eye and Vision Care, LLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Thomas J. Doyle OD, PC Optometrist PastSince Dec 1, 2021 Accepting new patients

Locations

8273 Grand River Rd
Ste 120
Brighton, MI 48114
Phone (810) 227-5640

13151 Schavey Rd
Dewitt, MI 48820
Phone (517) 669-2945

2040 Aurelius Rd
Ste 20
Holt, MI 48842
Phone (517) 699-3937

1191 Byron Rd
Howell, MI 48843
Phone (517) 546-4655

300 S Washington Sq
Ste M20
Lansing, MI 48933
Phone (517) 485-9050

405 W Greenlawn Ave
Ste 101
Lansing, MI 48910
Phone (517) 482-3940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1821525973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 SCHAVEY RD",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209016",
            "telephone_number": "989-415-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 SCHAVEY RD",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209016",
            "telephone_number": "517-669-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "DANIELLE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-04-13",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

Verify at the official NPI Registry.