Michael James Pack, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

490100444 Issued in MI

Practice address

38979 Cherry Hill Rd Unit B
Westland, MI 48186-3200

Phone

(734) 326-2160

Fax

(734) 326-9678

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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

Ferris State College - College of Optometry, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Vision Associates of WestlandGroup PAC ID 7719976406, 2 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 and National Provider Directory roles.

• Vision Associates of Westland

  • Vision Therapy Optometrist
  • Westland, MI
  • NPI 1932300928
  Medicare reassignment Care Compare group NPD
• Ann Arbor Vision Care, PC

  • Optometrist
  • Ann Arbor, MI
  • NPI 1598514309
  NPD
• Sams East Inc

  • Community/Retail Pharmacy
  • Canton, MI
  • NPI 1366469587
  NPD (past)
• Xeyes,Inc.

  • Optometrist
  • Livonia, MI
  • NPI 1629284591
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1992990360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38979 CHERRY HILL RD UNIT B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863200",
            "telephone_number": "734-326-2160",
            "fax_number": "734-326-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38979 CHERRY HILL RD UNIT B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863200",
            "telephone_number": "734-326-2160",
            "fax_number": "734-326-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004444",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MI",
            "license": "490100444",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901004444",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "490100444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Marie Owens, LMSW
• Damilola Oyinsan, LLPC
• Liborio Joseph Padula, PHD
• Palmer Medical, PLLC
• Vaishali Pandey
• Niko Rai Panek
• Paradigm Business Solutions LLC

• Optometrist in Westland, MI
• Providers in Westland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.