Individual provider Active NPI

Dawn Y Maccreery, O.D.

  • Optometrist
  • Lansing, MI
National Provider Identifier
1982765343
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002817 Issued in MI
Practice address
5660 W Saginaw Hwy
Space 113 Lansing Mall
Lansing, MI 48917-2455
Phone
(517) 321-5545
Fax
(517) 321-8344
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002817 MI Primary

Addresses

Primary practice location

5660 W Saginaw Hwy
Space 113 Lansing Mall
Lansing, MI 48917-2455

Mailing address

1705 Whitegate LN
East Lansing, MI 48823-2278
Phone (517) 323-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002817MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1982765343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WHITEGATE LN",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232278",
            "telephone_number": "517-323-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 W SAGINAW HWY",
            "address_2": "SPACE 113 LANSING MALL",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172455",
            "telephone_number": "517-321-5545",
            "fax_number": "517-321-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCREERY",
        "first_name": "DAWN",
        "middle_name": "Y",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.