Tracy Anagli, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005664 Issued in MI

Practice address

21427 Grand River Ave Ste a-200
Detroit, MI 48219-3896

Phone

(313) 676-4020

Fax

(313) 447-3278

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

No

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.

• Pcor LLC

  • Optometrist
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  • NPI 1720033343

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023

  MI, Optometrist

  Medicare reassignment NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  Care Compare group NPD
• P-Cor LLC

  • Optometrist
  • Plymouth, MI
  • NPI 1104571074
  Care Compare group
• P-Cor LLC

  • Optometrist
  • Sterling HTS, MI
  • NPI 1154597508
  Care Compare group
• P-Cor LLC

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1508407982
  Care Compare group
• P-Cor, LLC

  • Optometrist
  • Dearborn, MI
  • NPI 1063709137
  Care Compare group
• P-Cor, LLC

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214
  Care Compare group
• P-Cor, LLC

  • Eyewear Supplier
  • Taylor, MI
  • NPI 1497996599
  Care Compare group
• P-Cor, LLC

  • Optometrist
  • Commerce Township, MI
  • NPI 1821481078
  Care Compare group
• P-Cor, LLC

  • Optometrist
  • Monroe, MI
  • NPI 1871788562
  Care Compare group
• P-Cor, LLC

  • Optometrist
  • W Bloomfield, MI
  • NPI 1922274281
  Care Compare group

Specialty

Optometry

Education

Indiana University - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P-Cor LLC 81 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2023.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1831887835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432204",
            "telephone_number": "586-464-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21427 GRAND RIVER AVE STE A-200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193896",
            "telephone_number": "313-676-4020",
            "fax_number": "313-447-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAGLI",
        "first_name": "TRACY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Detroit, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.