Individual provider Active NPI

Sherry Lynn Dustman, O.D.

  • Optometrist
  • Pontiac, MI
National Provider Identifier
1851336689
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003679 Issued in MI
Practice address
44555 Woodward Ave Ste 203
Pontiac, MI 48341-5033
Phone
(248) 334-4931
Fax
(248) 239-0492
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 4901003679 MI Primary

Addresses

Primary practice location

44555 Woodward Ave Ste 203
Pontiac, MI 48341-5033

Mailing address

44555 Woodward Ave Ste 203
Pontiac, MI 48341-5033
Phone (248) 334-4931

Other identifiers 2

IdentifierTypeStateIssuer
0F38599OtherMIBLUE CROSS BLUE SHIELD MICHIGAN
943239340MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sdustman@WILKEC1846.srs-direct.com
Direct Messaging Address sdustman@osm.intellechartdirect.net

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
I20081111000746 MI Practitioner - Optometry 7315006970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44555 Woodward Ave
Suite 203
Pontiac, MI 48341-5033
Phone (248) 334-4931

Merit-based Incentive Payment System (MIPS)

Final score
86.83 of 100Reported as group
Quality
96.82
Promoting interoperability
99
Improvement activities
40
Cost
60.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ophthalmology Specialists, PLLC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Michigan Ophthalmology Specialists, PLLC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Michigan Eyecare Institute, P.C. Optometrist Past Accepting new patients

Locations

30150 Telegraph Rd
Ste 271
Bingham Farms, MI 48025

6875 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-5922

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

44555 Woodward Ave
Ste 203
Pontiac, MI 48341
Phone (248) 334-4931

Interoperability endpoints

  • Direct secure messaging: sdustman@wilkec1846.srs-direct.com
  • FHIR API: https://app.meldrx.com/api/fhir/me61ws34
  • Direct secure messaging: sdustman@osm.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1851336689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 203",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415033",
            "telephone_number": "248-334-4931",
            "fax_number": "248-239-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 203",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415033",
            "telephone_number": "248-334-4931",
            "fax_number": "248-239-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTMAN",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
            "identifier": "0F38599",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943239340",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdustman@WILKEC1846.srs-direct.com",
            "affiliation": "N",
            "address_1": "44555 Woodward Ave Ste 203",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdustman@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "44555 Woodward Ave Ste 203",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.