Individual provider Active NPI

Jamison Elizabeth Visel, O.D.

  • Optometrist
  • Brighton, MI
National Provider Identifier
1891755120
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004308 Issued in MI
Practice address
420 E Grand River Ave
Brighton, MI 48116-1516
Phone
(810) 227-2004
Fax
(810) 227-9910
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004308 MI Primary

Addresses

Primary practice location

420 E Grand River Ave
Brighton, MI 48116-1516

Mailing address

420 E Grand River Ave
Brighton, MI 48116-1516
Phone (810) 227-2004

Other identifiers 3

IdentifierTypeStateIssuer
1891755120MedicaidMI
H17642020OtherMEDICARE - UNSPECIFIED
JB004308OtherBCBS MICHIGAN

Other names 1

  • Dr. Jamison Elizabeth Barnes Former name

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
I20051007000619 MI Practitioner - Optometry 0840215968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeff Hayden Vision Care Center IncGroup PAC ID 5698910362, 2 clinicians

Practice addresses (Care Compare)

420 E Grand River Ave
Cook and Hayden Vision Care Center
Brighton, MI 48116-1516
Phone (810) 227-2004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004308MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Hayden Vision Care Center Inc Optometrist CurrentSince May 12, 2014 Accepting new patients

Locations

420 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2004

Organizations & group practices 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1891755120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161516",
            "telephone_number": "810-227-2004",
            "fax_number": "810-227-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161516",
            "telephone_number": "810-227-2004",
            "fax_number": "810-227-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISEL",
        "first_name": "JAMISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891755120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - UNSPECIFIED",
            "identifier": "H17642020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "JB004308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMISON",
            "last_name": "BARNES",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.