Mark Simard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003151 Issued in MI

Practice address

329 W 14 Mile Rd
Clawson, MI 48017-1926

Phone

(248) 435-3400

Fax

(248) 435-3100

NPI assigned

Nov 10, 2006

Last updated

Sep 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

House of Optical IncGroup PAC ID 9931201704, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• House of Optical, Inc.

  • Optometrist
  • Clawson, MI
  • NPI 1134290505
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1922179399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MILLBROOK CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063143",
            "telephone_number": "248-435-3400",
            "fax_number": "248-435-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171926",
            "telephone_number": "248-435-3400",
            "fax_number": "248-435-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMARD",
        "first_name": "MARK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Siddiqi PLLC (Let's Art About It)
• Shenandoah Clinic, P.C.
• Johanna Sherry
• Shazia Siddiqi, MA, LPC, ATR-BC
• Signature Chiropractic PC
• Jean Marie Snyder, OTRL, LPC
• SSC Clawson Operating Company LLC (Cambridge North Healthcare Center)
• Nathan C Stachel, DDS
• Christopher Standifer
• Stephen Boodin MD PC

• Optometrist in Clawson, MI
• Providers in Clawson, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.