NPIMap

Organization Active NPI

Dr Steven Lutz & Associates PC

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1972792455
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002919 Issued in MI
Legal business name
DR STEVEN LUTZ & ASSOCIATES PC
Practice address
1565 Eastover PL
Ann Arbor, MI 48104
Phone
(734) 769-2909
Fax
(734) 929-4142
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Steven P. Lutz, OD.NPI 1831159268
Title
Owner /Optometrist
Phone
(734) 769-2909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002919 MI Primary

Addresses

Primary practice location

1565 Eastover PL
Ann Arbor, MI 48104

Mailing address

1565 Eastover Place
Ann Arbor, MI 48104
Phone (734) 769-2909

Other identifiers 3

IdentifierTypeStateIssuer
4829010MedicaidMI
0H16509OtherBLUE CROSS
900H165090OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050228000721 MI Part B Supplier - Clinic/Group Practice 6204889470 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1565 Eastover Pl
Ann Arbor, MI 48104
Phone (734) 741-8844

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1972792455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 EASTOVER PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-769-2909",
            "fax_number": "734-929-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EASTOVER PL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-769-2909",
            "fax_number": "734-929-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEVEN LUTZ & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER /OPTOMETRIST",
        "authorized_official_telephone_number": "734-769-2909",
        "authorized_official_credential": "OD."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4829010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0H16509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "900H165090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.