Individual provider Active NPI

Deborah K Searles, O.D.

  • Optometrist
  • Niles, MI
National Provider Identifier
1982628236
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004405 Issued in MI
Practice address
9 S Saint Joseph Ave
Niles, MI 49120-2846
Phone
(269) 683-4040
Fax
(269) 683-7565
NPI assigned
Jul 27, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004405 MI Primary

Addresses

Primary practice location

9 S Saint Joseph Ave
Niles, MI 49120-2846

Mailing address

9 S Saint Joseph Ave
Niles, MI 49120-2846
Phone (269) 683-4040

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
I20080620000582 MI Practitioner - Optometry 3375632433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niles Vision Clinic, P.C.Group PAC ID 0941337836, 2 clinicians

Practice addresses (Care Compare)

9 S Saint Joseph Ave
Niles, MI 49120-2846
Phone (269) 683-4040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004405MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Niles Vision Clinic, P.C. Optometrist CurrentSince Jan 1, 2010 Accepting new patients
Steinhoff Optical, LLC Optometrist Past Accepting new patients
B.E.K Eyecare, Inc Optometrist Past Accepting new patients
Advanced Family Eye Care, PC Optometrist Past Accepting new patients

Locations

9 S Saint Joseph Ave
Niles, MI 49120
Phone (269) 683-4040

Organizations & group practices 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1982628236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202846",
            "telephone_number": "269-683-4040",
            "fax_number": "269-683-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202846",
            "telephone_number": "269-683-4040",
            "fax_number": "269-683-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARLES",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.