Ann Marie Spadafora, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AS003677 Issued in MI

Practice address

6445 Citation Dr Ste B
Clarkston, MI 48346-2996

Phone

(248) 922-1862

NPI assigned

May 26, 2006

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

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.

• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment Care Compare group NPD
• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment NPD
• Spadafora Eye Care PLLC

  • Medical Specialty Clinic/Center
  • Clarkston, MI
  • NPI 1073130035
  NPD Authorized official
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Brighton, MI
  • NPI 1508450438
  NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1952357147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 ROSEBUD LANE",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48348",
            "telephone_number": "248-709-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 CITATION DR STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462996",
            "telephone_number": "248-922-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADAFORA",
        "first_name": "ANN MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "AS003677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Song
• William Sophiea
• Cesily J Sowels
• Rachelle Lynn Sowinski, OTR
• Spadafora Eye Care PLLC
• Wendy Sparks, LMFT
• Specialized Care Facilities, Inc.
• Katherine Spiteri
• Paige Spitzer-Malik, RN
• Springfield Chiropractic, PLLC (Alati Chiropractic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.