Individual provider Active NPI

Michael Lowe, O.D.

  • Optometrist
  • Grosse Pointe Park, MI
National Provider Identifier
1902934573
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
L907492 Issued in MI
Practice address
16841 Kercheval PL
Grosse Pointe Park, MI 48230-1553
Phone
(313) 885-5400
Fax
(313) 885-2893
NPI assigned
Mar 2, 2007
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X L907492 MI Primary

Addresses

Primary practice location

16841 Kercheval PL
Grosse Pointe Park, MI 48230-1553

Mailing address

19992 Country Club Dr
Harper Woods, MI 48225-1622
Phone (313) 885-1588

Other identifiers 2

IdentifierTypeStateIssuer
MI3768OtherMIEYEMED ID
20056OtherMISPECTERA

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
I20040717000167 MI Practitioner - Optometry 4183603145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16841 Kercheval PL
Grosse Pointe Park, MI 48230-1553
Phone (313) 885-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L907492MIMDOptometrist

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1902934573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19992 COUNTRY CLUB DR",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251622",
            "telephone_number": "313-885-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 KERCHEVAL PL",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301553",
            "telephone_number": "313-885-5400",
            "fax_number": "313-885-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L907492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED ID",
            "identifier": "MI3768",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "20056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

Verify at the official NPI Registry.