TODD STANISZEWSKI OD PC (NPI# 1730347808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730347808 |
| Entity Type | Organization |
| Organization Name | TODD STANISZEWSKI OD PC |
| Other Organization Name | ADVANCED EYECARE OF MICHIGAN |
| Practice Address |
7117 Dixie Hwy Clarkston MI 48346-2077 |
| Practice Telephone | 2486201100 |
| Practice Fax Number | 2486201196 |
| Mailing Telephone | 2486201100 |
| Mailing Fax Number | 2486201196 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | JANET HURST (BILLING) |
| Authorized Official Telephone | 2486201100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 4901003704 | MI | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Advanced Eyecare of Michigan | Doing Business As Name - Organization |
| Street Address |
7117 DIXIE HWY |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-2077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801806856 | Todd Edward Staniszewski | Optometrist | 7117 Dixie Hwy, Clarkston, MI 48346-2077 | 2006-08-09 |
| 1427339472 | David Daniel Bush | Optometrist | 7117 Dixie Hwy, Clarkston, MI 48346-2077 | 2011-09-05 |
| 1477780658 | Nora Clancy | Optometrist | 7117 Dixie Hwy, Clarkston, MI 48346-2077 | 2009-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033262217 | Clarkston Vision LLC | Preferred Provider Organization | 7196 N Main St, Clarkston, MI 48346-1571 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137592 | Rehabpros LLC | Preferred Provider Organization | 6757 Cascade Rd Se # 136, Grand Rapids, MI 49546-6849 | 2020-06-01 |
| 1013536150 | Najai R Beck | Preferred Provider Organization | 6333 Colorado St, Romulus, MI 48174-1819 | 2020-04-09 |
| 1174161178 | Nile Construction LLC | Preferred Provider Organization | 6729 Pelham Rd, Allen Park, MI 48101-2340 | 2019-12-20 |
| 1346723608 | Home Health Pro, LLC | Preferred Provider Organization | 30200 Telegraph Rd Ste 131, Bingham Farms, MI 48025-4577 | 2018-09-12 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1104362938 | Maternal Instinct Doulas | Preferred Provider Organization | 4899 Underwood St, Detroit, MI 48204-2126 | 2017-01-18 |
| 1942750740 | Hope Network | Preferred Provider Organization | 1127 Wealthy St Se, #3, Grand Rapids, MI 49506-1598 | 2016-10-05 |
| 1760830368 | Michigan Health Preference LLC | Preferred Provider Organization | 16000 W 9 Mile Rd Ste 303, Southfield, MI 48075 | 2016-05-25 |
| 1659727303 | Raymond L. Augenstein | Preferred Provider Organization | 11682 E Gates Rd, Riverdale, MI 48877-9566 | 2016-05-12 |
| 1154777183 | Desiree Santiago | Preferred Provider Organization | 517 Graten St, Birmingham, MI 48009-6519 | 2016-05-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.