Individual provider Active NPI

Stephanie Lauren Krieg, OD

  • Optometrist
  • Novi, MI
National Provider Identifier
1881207389
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005487 Issued in MI
Practice address
42081 W 14 Mile Rd
Novi, MI 48377-1574
Phone
(248) 301-6970
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005487 MI Primary

Addresses

Primary practice location

42081 W 14 Mile Rd
Novi, MI 48377-1574

Mailing address

7315 Northdale Dr
Brighton, MI 48116-9158
Phone (513) 379-6553

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
I20201211000675 MI Practitioner - Optometry 6002228285 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Steven Lutz and Associates PCGroup PAC ID 6204889470, 2 clinicians

Practice addresses (Care Compare)

1565 Eastover PL
Ann Arbor, MI 48104-6316
Phone (734) 769-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jan 25, 2026 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jan 25, 2026 Accepting new patients
2020 Family Vision Novi CurrentSince Sep 1, 2020 Accepting new patients
Michigan Eye and Contact Lens PLLC Optometrist CurrentSince Aug 30, 2020 Accepting new patients

Locations

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

42081 W 14 Mile Rd
Novi, MI 48377
Phone (248) 301-6970

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1881207389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 NORTHDALE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169158",
            "telephone_number": "513-379-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42081 W 14 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771574",
            "telephone_number": "248-301-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.