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SOUTH MICHIGAN OPHTHALMOLOGY P C
NPI 1629224514
Clinic/Center in Marshall, MI

Active since August 12, 2008
830 W MICHIGAN AVE, MARSHALL, MI 49068(269) 781-9822(269) 781-9835 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Michigan Ophthalmology P C NPPES

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

SOUTH MICHIGAN OPHTHALMOLOGY P C (NPI 1629224514) is a healthcare organization registered as a clinic/center in Marshall, Michigan and active in the NPI registry since August 2008. The organization lists Darren Paul Hathaway, President, as its authorized official.

NPPES Registry Identity

NPI1629224514
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH MICHIGAN OPHTHALMOLOGY P C
Location Address830 W MICHIGAN AVEMarshall, MI 49068-1446
Mailing Address830 W Michigan AveMarshall, MI 49068-1446 · (269) 781-9822 · Fax (269) 781-9835
Phone(269) 781-9822
Fax(269) 781-9835
Organization SubpartNo
Authorized OfficialDarren Paul HathawayPresident · (269) 781-9822
Enumeration DateAugust 12, 2008
Last NPPES UpdateAugust 10, 2010
✔ NPI 1629224514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MI · 4301073800
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
830 W MICHIGAN AVE, Marshall, MI 49068
Open in Google Maps ↗

Other Identifiers 4

Medicare UPING83248MI
Medicare PIN0N52860MI
Medicaid4421664MI
Medicare NSC4606030001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D2018752

South Michigan Ophthalmology · Marshall, MI
Expired · Jul 27, 2026
CLIA Number23D2018752
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorDarren P. Hathaway
Laboratory Phone(269) 781-9822
Laboratory LocationSouth Michigan Ophthalmology830 W Michigan Ave, Marshall, MI 49068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

BRADLEY JAMES RUNYON O.D.
Optometrist
830 W MICHIGAN AVE
MARSHALL, MI 49068
Calhoun County (269) 781-9822
DR. NAIYA PANCHAL O.D
Optometrist
830 W MICHIGAN AVE
MARSHALL, MI 49068
Calhoun County (269) 781-9822
DR. DARREN PAUL HATHAWAY M.D.
Ophthalmology
830 W MICHIGAN AVE
MARSHALL, MI 49068
Calhoun County (269) 781-9822
DR. PATRICIA M WOZNICKI O.D.
Optometrist
830 W MICHIGAN AVE
MARSHALL, MI 49068
Calhoun County (269) 781-9822
LO OPTICAL, LLC
Eyewear Supplier
830 W MICHIGAN AVE
MARSHALL, MI 49068
Calhoun County (269) 781-9822

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 South Michigan Ophthalmology P C's NPI number?

The NPI number for South Michigan Ophthalmology P C is 1629224514. It was assigned to this organization in the NPPES registry on August 12, 2008.

Where is South Michigan Ophthalmology P C located?

South Michigan Ophthalmology P C is located at 830 W Michigan Ave, Marshall, MI 49068. The listed phone number is (269) 781-9822.

What is South Michigan Ophthalmology P C's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does South Michigan Ophthalmology P C accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list South Michigan Ophthalmology P C 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 South Michigan Ophthalmology P C was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.