Organization Active NPI

Piero a. Simone, M.D., P.C.

  • Ophthalmology Physician
  • Warren, MI
National Provider Identifier
1891989547
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
PS066663 Issued in MI
Legal business name
PIERO A. SIMONE, M.D., P.C.
Practice address
29245 Ryan Rd
Ste. 100
Warren, MI 48092-4224
Phone
(586) 558-2981
Fax
(586) 558-8838
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. Piero Anthony Simone, M.D.NPI 1497769624
Title
President
Phone
(586) 558-2981

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X JV003935 MI
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4901004738 MI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X PS066663 MI Primary

Addresses

Primary practice location

29245 Ryan Rd
Ste. 100
Warren, MI 48092-4224

Mailing address

29245 Ryan Rd
Ste. 100
Warren, MI 48092-4224
Phone (586) 558-2981

Other names 1

  • Simone Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050917000345 MI Part B Supplier - Clinic/Group Practice 3173556271 Receives reassigned benefits from 5 practitioners
Practice locations: Macomb Township, MI; Warren, MI
O20100930036054 MI DME Supplier - Physician - OphthalmologyDME Supplier - Optician 3173556271 Practice locations: Warren, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2099695Simone Eye Center29245 Ryan Road Suite 100, Warren, MI 48092Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1891989547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29245 RYAN RD",
            "address_2": "STE. 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924224",
            "telephone_number": "586-558-2981",
            "fax_number": "586-558-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29245 RYAN RD",
            "address_2": "STE. 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924224",
            "telephone_number": "586-558-2981",
            "fax_number": "586-558-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERO A. SIMONE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "PIERO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-558-2981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "JV003935",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004738",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "PS066663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simone Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.