Individual provider Active NPI

Michelle Piper, O.D.

  • Optometrist
  • Stow, OH
National Provider Identifier
1891183505
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6348 Issued in OH
Practice address
3520 Hudson Dr.
Stow, OH 44224
Phone
(330) 923-9860
Fax
(330) 923-9865
NPI assigned
Jan 5, 2015
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6348 OH Primary

Addresses

Primary practice location

3520 Hudson Dr.
Stow, OH 44224

Mailing address

3694 North Viona Dr.
Akron, OH 44319
Phone (330) 907-8014

Other identifiers 1

IdentifierTypeStateIssuer
0171469MedicaidOH

Other names 1

  • Michelle Walchuck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170414000398 OH Practitioner - Optometry 1759667363 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6348OHMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Richard E Hults and Associates, Inc. Optometrist CurrentSince Mar 6, 2017 Accepting new patients
Dr. Richard E. Hults & Assoc., Inc Optometrist CurrentSince Mar 6, 2017 Accepting new patients
Dr. Richard E. Hults & Assoc., Inc. Optometrist Current Accepting new patients
Belden Optometry LLC Optometrist CurrentSince May 1, 2017 Accepting new patients

Locations

4157 Belden Village Mall
Canton, OH 44718
Phone (330) 422-4464

691 Richmond Rd
Richmond Hts, OH 44143
Phone (330) 688-2299

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, 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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1891183505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 NORTH VIONA DR.",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-907-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 HUDSON DR.",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-923-9860",
            "fax_number": "330-923-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171469",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WALCHUCK",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.