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DISTINCTIVE EYEWEAR, INC.
NPI 1336179597
Optometrist in Saint Clair, MI

Active since July 04, 2006
1280 S 9TH ST, SAINT CLAIR, MI 48079(810) 329-9725(810) 329-3491 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Distinctive Eyewear, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISTINCTIVE EYEWEAR, INC. (NPI 1336179597) is a healthcare organization registered as an optometrist in Saint Clair, Michigan and active in the NPI registry since July 2006. The organization lists Elizabeth Ann Moore, President, as its authorized official.

NPPES Registry Identity

NPI1336179597
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDISTINCTIVE EYEWEAR, INC.
Location Address1280 S 9TH STSaint Clair, MI 48079-5368
Mailing Address1280 S 9th StSaint Clair, MI 48079-5368 · (810) 329-9725 · Fax (810) 329-3491
Phone(810) 329-9725
Fax(810) 329-3491
Organization SubpartNo
Authorized OfficialElizabeth Ann MoorePresident · (810) 329-9725
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 10, 2015
✔ NPI 1336179597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901002751
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1280 S 9TH ST, Saint Clair, MI 48079
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Other Identifiers 13

Other146505MI · Cole Vision Location #
Other145807MI · Cole Vision Doctor #
Medicaid943020464MI
Other12065MI · Health Plan Of Mi
Other25289MI · National Vision Admin.
OtherMI02751MI · Vision Benefit Of America
OtherMI2751MI · Eyemed
Medicaid3020464MI
Other101422MI · Great Lakes Health Plan
OtherGK490100MI · Blue Cross Pin #
Other13314MI · Spectera
Other900G467000MI · Blue Cross
Medicare PINMI8412MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Distinctive Eyewear Inc carries, from the Medicare DMEPOS supplier directory.

Distinctive Eyewear Inc

DMEPOS supplier · Saint Clair, MI
✔

Accepts Medicare assignment

Distinctive Eyewear Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)21609423
Medicare Participant SinceMarch 15, 2015
Supplier Location201 N Riverside Ave Ste E9Saint Clair, MI 48079
Phone(810) 329-9725
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK T. O'BRIEN D.O.
Family Medicine
1280 S 9TH ST
SAINT CLAIR, MI 48079
St. Clair County (810) 326-0837

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 Distinctive Eyewear, Inc.'s NPI number?

The NPI number for Distinctive Eyewear, Inc. is 1336179597. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Distinctive Eyewear, Inc. located?

Distinctive Eyewear, Inc. is located at 1280 S 9th St, Saint Clair, MI 48079. The listed phone number is (810) 329-9725.

What is Distinctive Eyewear, Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Distinctive Eyewear, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Distinctive Eyewear Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Distinctive Eyewear, Inc. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Insurance Company list Distinctive Eyewear, 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 Distinctive Eyewear, Inc. was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.