STADIUM OPTICIANS, INC.
NPI 1245384544
Optometrist in Ann Arbor, MI
About Stadium Opticians, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STADIUM OPTICIANS, INC. (NPI 1245384544) is a healthcare organization registered as an optometrist in Ann Arbor, Michigan and active in the NPI registry since January 2007. The organization lists Charles R. Meldrum, Pres., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Stadium Opticians, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Stadium Opticians, Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Stadium Opticians, Inc.'s NPI number?
The NPI number for Stadium Opticians, Inc. is 1245384544. It was assigned to this organization in the NPPES registry on January 23, 2007.
Where is Stadium Opticians, Inc. located?
Stadium Opticians, Inc. is located at 2333 W Stadium Blvd, Ann Arbor, MI 48103. The listed phone number is (734) 663-0870.
What is Stadium Opticians, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Stadium Opticians, Inc. enrolled in Medicare?
Yes. Stadium Opticians, Inc. is registered in the Medicare PECOS enrollment system.
When is Stadium Opticians, 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 October 31, 2026. 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 Stadium Opticians, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Stadium Opticians, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stadium Opticians, 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 Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Stadium Opticians, 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 Stadium Opticians, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Stadium Opticians, Inc. · NPI 1245384544
Optometrist organization in Ann Arbor, Michigan. Organization record, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1245384544 (Entity type: Organization)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Charles Meldrum, PRES.
## Practice location
- **Address:** 2333 W STADIUM BLVD, Ann Arbor, MI 48103-3844
- **Phone:** (734) 663-0870 · **Fax:** (734) 761-5242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 900H16511 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1245384544) · Data from the CMS NPPES public registry.