SUSAN MITHOFF QUADE OD PC NPI 1023294584

Durable Medical Equipment & Medical Supplies in Trenton, MI

NPI 1023294584 Organization Durable Medical Equipment & Medical Supp... Medicare Supplier Accepts Medicare Approved Payment

About SUSAN MITHOFF QUADE OD PC

Susan Mithoff Quade Od Pc is a provider established in Trenton, Michigan specializing in durable medical equipment & medical supplies. The NPI number of Susan Mithoff Quade Od Pc is 1023294584 and was assigned on January 2008. The practitioner's primary taxonomy code is 332B00000X with license number 4901003686 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Brian Quade (Office Manager)

Susan Mithoff Quade Od Pc is a medicare supplier with PTAN 5287070001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

NPI

1023294584

Provider NameSUSAN MITHOFF QUADE OD PC
Provider Location Address2299 WEST RD TRENTON, MI 48183
Provider Mailing Address2299 WEST RD TRENTON, MI 48183
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-15-2008
Last Update Date06-15-2015


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
License No.4901003686
License StateMI
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

SUSAN MITHOFF QUADE OD PC
2299 WEST RD
TRENTON, MI
ZIP 48183
Phone: (734) 676-4500
Fax: (734) 676-1587

Get Directions


Mailing Address

SUSAN MITHOFF QUADE OD PC
2299 WEST RD
TRENTON, MI
ZIP 48183
Phone: (734) 676-4500
Fax: (734) 676-1587



Authorized Official

Authorized Official Name BRIAN QUADE
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(734) 676-4500

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN5287070001
Accepts Medicare AssignmentYES
Specialities ListOptometrist.
Supplies List
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
Competitive BiddingNO

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0N86570MEDICARE PIN (08)MI
900H22910OTHER (01)MI
U53742MEDICARE UPIN (02)MI
DO1832MEDICARE PIN (08)MI

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184686883 SUSAN MITHOFF QUADE OD
Individual
Optometrist2299 WEST RD
TRENTON, MI 48183
(734) 676-4500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.