Individual provider Active NPI

Luciana Coscione Dixon, OD

  • Optometrist
  • Rochester Hills, MI
National Provider Identifier
1932292687
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004397 Issued in MI
Practice address
332 W Tienken Rd Ste D
Rochester Hills, MI 48306-4473
Phone
(248) 656-5055
Fax
(248) 656-5056
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004397 MI Primary

Addresses

Primary practice location

332 W Tienken Rd Ste D
Rochester Hills, MI 48306-4473

Mailing address

332 W Tienken Rd Ste D
Rochester Hills, MI 48306-4473
Phone (248) 656-5055

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
I20070910000066 MI Practitioner - Optometry 6103919097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

332 W Tienken Rd
Suite D
Rochester Hills, MI 48306-4473
Phone (248) 656-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L'Optique, PC Optometrist CurrentSince Mar 1, 2012 Accepting new patients

Locations

332 W Tienken Rd
Ste D
Rochester Hills, MI 48306
Phone (248) 656-5055

6822 N Rochester Rd
Rochester Hills, MI 48306
Phone (248) 656-5055

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1932292687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W TIENKEN RD STE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064473",
            "telephone_number": "248-656-5055",
            "fax_number": "248-656-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W TIENKEN RD STE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064473",
            "telephone_number": "248-656-5055",
            "fax_number": "248-656-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LUCIANA",
        "middle_name": "COSCIONE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.