Emily Ann Miszewski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005670 Issued in MI

Practice address

3360 Interstate 75 Business Spur
Sault Ste. Marie, MI 49783

Phone

(906) 635-0861

NPI assigned

May 25, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Mills Indian CommunityGroup PAC ID 8729079918, 13 clinicians

Sault Vision Clinic PCGroup PAC ID 3678691763, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sault Vision Clinic, P.C.

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1033268529
  Medicare reassignment Care Compare group NPD
• Bay Mills Indian Community

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1053592089
  Medicare reassignment Care Compare group
• Bay Mills Indian Community

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1073711057
  NPD
• Bay Mills Indian Community

  dba Brimley Area Schools

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1669235974
  NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1912699141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 INTERSTATE 75 BUSINESS SPUR",
            "city": "SAULT STE. MARIE",
            "state": "MI",
            "postal_code": "49783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 INTERSTATE 75 BUSINESS SPUR",
            "city": "SAULT STE. MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-635-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISZEWSKI",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Recovery Centers
• Elizabeth Hayes
• Marzena Kamzol-Gazda, BSN, MSN, CFNP, RNFA
• John Roger Klika, O.D.
• Mary Catherine McLeod, NP
• Mymichigan Medical Center Sault (War Memorial Professional Diagnostic Services)
• Pragnya Paromita
• Debra Joyce Peake, LLMSW
• George John Pramstaller, DO
• Janee J Reed, LLPC

• Optometrist in Sault Ste Marie, MI
• Providers in Sault Ste Marie, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.

Verify at the official NPI Registry.