Dean & Aubry Optometrists PC – Optometrist

Key facts

NPI: 1891701157
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
License: 4901003060 (MI)
Legal business name: DEAN & AUBRY OPTOMETRISTS PC
Practice address: 904 E Michigan Ave
Grayling, MI 49738-1308
Phone: (989) 348-3211
Fax: (989) 348-7852
NPI assigned: Jul 31, 2006
Organization subpart: No

Authorized official

Name: Mr. William I Dean, OD NPI 1861578957
Title: Ceo
Phone: (989) 348-3211

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

William I Dean, OD Optometrist · Grayling, MI · NPI 1861578957

Medicare reassignment Care Compare group NPD Authorized official MI · OPTOMETRIST
Robert A Aubry, OD Optometrist · Grayling, MI · NPI 1851477947

Medicare reassignment Care Compare group NPD MI · OPTOMETRIST
Lindsay Lorin Wade, O.D Optometrist · Gaylord, MI · NPI 1407296296

Medicare reassignment Care Compare group NPD MI · OPTOMETRIST
Peter D Fedor, MD Ophthalmology Physician · Traverse City, MI · NPI 1821087560

NPD (past)
Julie Theriault Timperley, OD Optometrist · Gaylord, MI · NPI 1295876357

NPD (past) OPTOMETRIST

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Ausable Eyecare Dean & Aubry Optome 904 E Michigan Ave, Grayling, MI 49738-1308 · (517) 348-3211	Prosthetic Lenses: Conventional Eyeglasses	Accepts assignment Participating since Jan 3, 2000

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in MI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100524000591	MI	Part B Supplier - Clinic/Group Practice	5395874713	Receives reassigned benefits from 3 practitioners Practice locations: Grayling, MI
O20100930003305	MI	DME Supplier - Physician - Optometrist	5395874713	Practice locations: Grayling, MI

National Provider Directory

Locations

904 E Michigan Ave
Grayling, MI 49738
Phone (517) 348-3211

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	152W00000X	4901003060	MI	Yes
Optometrist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	152W00000X	4901003748	MI

Addresses

Primary practice location

904 E Michigan Ave
Grayling, MI 49738-1308

Mailing address

PO Box 416
Grayling, MI 49738-0416
Phone (989) 348-3211

Other identifiers

Identifier	Type	State	Issuer
4152566	Medicaid	MA
4152557	Medicaid	MA
900B010050	Other	MI	BLUE CROSS BLUE SHIELD

Other names

AUSABLE EYECARE Doing business as

Other providers in Grayling, MI

All providers in Grayling, MI · Optometrist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.