Heather Dawidowicz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004028 Issued in MI

Practice address

37561 S Gratiot Ave
Clinton TWP, MI 48036-2708

Phone

(586) 469-1200

Fax

(586) 469-3540

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SVS Vision IncGroup PAC ID 9931257110, 41 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.

• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment Care Compare group NPD
• SVS Vision Inc

  dba SVS Vision 94

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1558246942
  NPD
• Luxottica Retail North America Inc

  dba Lenscrafters #05578

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)
• Pearle Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1912043100
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962557256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50708 NAGY CT",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441364",
            "telephone_number": "586-421-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37561 S GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362708",
            "telephone_number": "586-469-1200",
            "fax_number": "586-469-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWIDOWICZ",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Danta-Dahl
• Mary Davenport
• Nikole Kristine Davidson, ACNP-BC
• Alexandra Marie Davies, DO
• Jennifer Davies, RN
• De Marillac Counseling LLC
• Katie M Decent, L.M.T.
• Renee Dedenbach
• Lisa Defillippo
• Isabella Celeste Deladurantaye, MS/PSYS

• 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 Jul 8, 2007; 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.