Active NPI
Daniel L Markley, OD
- Optometrist
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003949
- Practice address
- 12606 Holly Rd
Grand Blanc, MI 48439-2447 - Phone
- (810) 694-3652
- Fax
- (810) 694-0963
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003949 | MI | Primary |
Addresses
Primary practice location
12606 Holly Rd
Grand Blanc, MI 48439-2447
Mailing address
12606 Holly Rd
Grand Blanc, MI 48439-2447
Phone (810) 694-3652
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0994958 | Other | MI | HEALTH PLUS OF MI |
| 900B563850 | Other | MI | BCBS |
| 4861189 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1121 N Saginaw St
Suite 1
Holly, MI 48442-1380
Phone (248) 382-5733
12606 Holly Rd
Grand Blanc, MI 48439-2447
Phone (810) 694-3652
403 S Leroy St
Fenton, MI 48430-2143
Phone (810) 694-3652
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Eyecare PC | Optometrist | Current | Accepting new patients |
| Grand Blanc Vision Clinic P.C. | Optometrist | Current | Accepting new patients |
| Holly Vision Clinic PC | Optometrist | Current | Accepting new patients |
Locations
403 S Leroy St
Fenton, MI 48430
Phone (810) 694-3652
403 S Leroy St
Ste 1
Fenton, MI 48430
12606 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-3652
1121 N Saginaw St
Ste 1
Holly, MI 48442
Phone (248) 382-5733
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Grand Blanc, MI
- NPI 1013135870
-
- Optometrist
- Holly, MI
- NPI 1316421308
-
- Optometrist
- Fenton, MI
- NPI 1881155281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1902971997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12606 HOLLY RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392447",
"telephone_number": "810-694-3652",
"fax_number": "810-694-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12606 HOLLY RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392447",
"telephone_number": "810-694-3652",
"fax_number": "810-694-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKLEY",
"first_name": "DANIEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MI",
"identifier": "0994958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "900B563850",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4861189",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.