Individual provider Active NPI

Jonathan G Garretson, O.D.

  • Corneal and Contact Management Optometrist
  • Clarkston, MI
National Provider Identifier
1992885578
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4901004259 Issued in MI
Practice address
6507 Town Center Dr
Suite D
Clarkston, MI 48346-4826
Phone
(248) 241-6537
Fax
(248) 241-6654
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4901004259 MI Primary

Addresses

Primary practice location

6507 Town Center Dr
Suite D
Clarkston, MI 48346-4826

Mailing address

6507 Town Center Dr
Suite D
Clarkston, MI 48346-4826
Phone (248) 241-6537

Other identifiers 1

IdentifierTypeStateIssuer
4801369MedicaidMI

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
I20050623000203 MI Practitioner - Optometry 2163467887 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

Practice addresses (Care Compare)

6507 Town Ctr Dr
Suite D
Clarkston, MI 48346-4826
Phone (248) 541-6537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004259MIMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan G. Garretson, O.D., P.C. Corneal and Contact Management CurrentSince Mar 1, 2009 Accepting new patients

Locations

5724 Clarkston Rd
Clarkston, MI 48348
Phone (248) 241-6537

6507 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 241-6537

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 and National Provider Directory roles.

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": "1771977600000",
    "number": "1992885578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TOWN CENTER DR",
            "address_2": "SUITE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464826",
            "telephone_number": "248-241-6537",
            "fax_number": "248-241-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TOWN CENTER DR",
            "address_2": "SUITE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464826",
            "telephone_number": "248-241-6537",
            "fax_number": "248-241-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETSON",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4801369",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.