Eric Thomas Anklin, OD

Individual provider Active NPI Optometrist · Tecumseh, MI

NPI 1861580169 · NPPES record last updated Sep 18, 2014

Key facts

NPI
1861580169
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
4901003804 (MI)
Practice address
904 W Chicago Blvd
Ste a
Tecumseh, MI 49286-1298
Phone
(517) 423-2001
Fax
(517) 423-7030
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Ferris State College - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

904 W Chicago Blvd
Suite a
Tecumseh, MI 49286-1298
Phone (517) 423-7447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130626000167 MI Practitioner - Optometry 1254538309 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Eric T. Anklin, OD, PC Optometrist Current
since Feb 24, 2014
Accepting new patients
SVS Vision Inc Optometrist Current
since May 1, 2014
Accepting new patients
SVS Vision Inc Optometrist Current
since May 1, 2014
Accepting new patients
Pearle Vision Inc Past Accepting new patients
Pearle Vision Inc Past Accepting new patients
Dana E Gillin OD PC Optometrist Past
since Nov 17, 2008
Accepting new patients

Locations

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

904 W Chicago Blvd
Tecumseh, MI 49286
Phone (517) 423-7447

904 W Chicago Blvd
Ste A
Tecumseh, MI 49286
Phone (517) 423-2001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003804 MI Yes

Addresses

Primary practice location

904 W Chicago Blvd
Ste a
Tecumseh, MI 49286-1298

Mailing address

904 W Chicago Blvd Ste a
Tecumseh, MI 49286-1298
Phone (517) 423-7447

Other providers in Tecumseh, MI

All providers in Tecumseh, MI · Optometrist in Michigan

Sources for this page

Verify at the official NPI Registry.