Individual provider Active NPI

Shanna Marie Voss, OD

  • Optometrist
  • West Bloomfield, MI
National Provider Identifier
1952482093
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
L719012 Issued in MI
Practice address
6530 Farmington Rd # 300
West Bloomfield, MI 48322-3216
Phone
(248) 661-5100
Fax
(248) 661-8616
NPI assigned
Oct 17, 2006
Last updated
May 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X L719012 MI Primary

Addresses

Primary practice location

6530 Farmington Rd # 300
West Bloomfield, MI 48322-3216

Mailing address

1700 S Park St
Kalamazoo, MI 49001-2779
Phone (248) 661-5100

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
I20061120000453 MI Practitioner - Optometry 8527066869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
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)

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L719012MIMDOptometrist

Interoperability endpoints

  • Direct secure messaging: svoss8776@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1952482093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012779",
            "telephone_number": "248-661-5100",
            "fax_number": "248-661-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 FARMINGTON RD # 300",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223216",
            "telephone_number": "248-661-5100",
            "fax_number": "248-661-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "SHANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L719012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.