MAIN STREET OPTOMETRY, INC.
NPI 1083772008
Optometrist in Dexter, MI
About Main Street Optometry, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET OPTOMETRY, INC. (NPI 1083772008) is a healthcare organization registered as an optometrist in Dexter, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Renee Lynn Laliberte, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Street Optometry, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Main Street Optometry, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2316138
Main Street Optometry - Dexter · Dexter, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Main Street Optometry, Inc.'s NPI number?
The NPI number for Main Street Optometry, Inc. is 1083772008. It was assigned to this organization in the NPPES registry on December 4, 2006.
Where is Main Street Optometry, Inc. located?
Main Street Optometry, Inc. is located at 8089 Main St Suite 1, Dexter, MI 48130. The listed phone number is (734) 424-9230.
What is Main Street Optometry, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Main Street Optometry, Inc. enrolled in Medicare?
Yes. Main Street Optometry, Inc. is registered in the Medicare PECOS enrollment system.
When is Main Street Optometry, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Main Street Optometry, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Main Street Optometry, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Main Street Optometry, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2316138) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Main Street Optometry, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Main Street Optometry, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Main Street Optometry, Inc. was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Main Street Optometry, Inc. · NPI 1083772008
Optometrist organization in Dexter, Michigan. Organization record, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1083772008 (Entity type: Organization)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Renee Laliberte, OWNER
## Practice location
- **Address:** 8089 MAIN ST, SUITE 1, Dexter, MI 48130-1079
- **Phone:** (734) 424-9230 · **Fax:** (734) 424-2576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2014
- **Other identifiers:** Medicare UPIN U80025 (MI); Medicare NSC 5347270002 (MI); Medicare ID-Type Unspecified 0N91220 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083772008) · Data from the CMS NPPES public registry.