Joseph Samuel Conrad, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004635 Issued in MI

Practice address

1191 Byron Rd
Howell, MI 48843-1005

Phone

(517) 546-4655

Fax

(517) 546-0899

NPI assigned

Jul 9, 2011

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

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

Ohio State University - College of Optometry, 2011

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Primary Eye and Vision Care, LLC

  • Optometrist
  • Howell, MI
  • NPI 1902194970
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas J. Doyle OD, PC

  • Optometrist
  • Dewitt, MI
  • NPI 1093831216
  NPD (past)

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1831486935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431005",
            "telephone_number": "517-546-4655",
            "fax_number": "517-546-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431005",
            "telephone_number": "517-546-4655",
            "fax_number": "517-546-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JOSEPH",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Senior Care
• Compassionate Senior Care Inc
• Complete Counseling Center
• Constance C. Conklin, LMSW
• Linda Jane Connolly
• Laura Constable, LLC
• Andrew Roger Cook, PHD
• Lauren Elizabeth Cook
• Ashley Cooper
• Diana Susan Cooper, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.