Kristen Ann Milosavlevski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004684 Issued in MI

Practice address

33100 S Gratiot Ave
Clinton TWP, MI 48035

Phone

(586) 294-0120

Fax

(586) 294-6322

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen McDonnell Former name

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

Illinois College of Optometry at Chicago, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmilosavlevski198207@direct.hfhs.org

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.

• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment Care Compare group NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1932331741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-294-0120",
            "fax_number": "586-247-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 S GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-294-0120",
            "fax_number": "586-294-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOSAVLEVSKI",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MCDONNELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy Miljan, CPHT
• Ryan William Miller, D.C.
• Sara Christine Miller, RN
• Tiffany Miller
• Takeya Daniell Mills, LLBSW
• Melissa Velez Miracle
• Leia Xiao Misiolek, PHARMD
• Samantha Kaitlyn Misovska
• Spencer Mister, LMSW
• Katie Marie Mittelstaedt, COTA

• Optometrist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.