Active NPI
Sherry Lynn Dustman, O.D.
- Optometrist
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F38599 | Other | MI | BLUE CROSS BLUE SHIELD MICHIGAN |
| 943239340 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 96.82
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 60.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Ophthalmology Specialists, PLLC | Optometrist | Current | Accepting new patients |
| Michigan Ophthalmology Specialists, PLLC | Optometrist | Current | 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
- sdustman@wilkec1846.srs-direct.com
- https://app.meldrx.com/api/fhir/me61ws34
- 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.
-
dba Advanced Ophthalmology Associates
- Ophthalmology Physician
- Livonia, MI
- NPI 1942272364
Optometrist
-
- Ophthalmology Physician
- Northville, MI
- NPI 1699486191
Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
- NPI 1205986585
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.