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SPECIALTY EYE INSTITUTE
NPI 1649275041
Ophthalmology in Jackson, MI

Active since June 14, 2005
1116 W. GANSON STREET, JACKSON, MI 49202(877) 852-8463(517) 817-0144 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2018, Jun 21, 2017, Mar 21, 2017 (3 updates tracked since 2017).

About Specialty Eye Institute NPPES

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

SPECIALTY EYE INSTITUTE (NPI 1649275041) is a healthcare organization registered as an ophthalmology in Jackson, Michigan and active in the NPI registry since June 2005. The organization lists Thomas T Roark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649275041
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMID MICHIGAN EYE CARE CENTER, PC
Location Address1116 W. GANSON STREETJackson, MI 49202-4240
Mailing Address850 W. North Street, Ste. 104Jackson, MI 49202-3196 · (877) 852-8463 · Fax (517) 817-0144
Phone(877) 852-8463
Fax(517) 817-0144
Organization SubpartNo
Authorized OfficialThomas T RoarkCeo · (517) 841-3007
Enumeration DateJune 14, 2005
Last NPPES UpdateNovember 26, 20183 updates tracked since enumeration
✔ NPI 1649275041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301034151
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
1116 W. GANSON STREET, Jackson, MI 49202
Open in Google Maps ↗

Other Names 1

Doing Business AsSpecialty Eye Institute

Other Identifiers 7

OtherCC5220MI · Railroad Medicare
Other180C846310MI · Bcbsm
OtherC31544MI · Railroad Medicare
Other900N834800MI · Bcbsm
Other180H149970MI · Bcbsm
Other900C848370MI · Bcbsm
Other900H115380Bcbsm

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialty Eye Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Specialty Eye Institute, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Ophthalmology22
Optometry18

Nearest to this location (20)

See all 40
Angela Cumming, OD
Optometry
NPI 1659421253
1116 W GANSON ST
Jackson, MI 49202
(800) 551-7347
✔ PECOS✔ Accepts MedicareSame address
Mahmoud El-Yassir, MD
Ophthalmology
NPI 1245590868
1116 W GANSON ST
Jackson, MI 49202
(517) 782-9436
✔ PECOS✔ Accepts MedicareSame address
Paul Ernest, MD
Ophthalmology
NPI 1508861659
1116 W GANSON ST
Jackson, MI 49202
(517) 782-9436
✔ PECOS✔ Accepts MedicareSame address
Joshua Halm, O.D.
Optometry
NPI 1881101582
1116 W GANSON ST
Jackson, MI 49202
(517) 782-9436
✔ PECOS✔ Accepts MedicareSame address
Kevin Lavery, MD
Ophthalmology
NPI 1629073036
1116 W GANSON ST
Jackson, MI 49202
(517) 782-9436
✔ PECOS✔ Accepts MedicareSame address
Kevin Vanden Bosch, O.D.
Optometry
NPI 1215299367
1116 W GANSON ST
Jackson, MI 49202
(877) 852-8463
✔ PECOS✔ Accepts MedicareSame address
Casey Bunge, MD
Ophthalmology
NPI 1477036887
1116 W GANSON ST
Jackson, MI 49202
(877) 852-8463
✔ PECOSSame address
Ethan Stern, MD
Ophthalmology
NPI 1710470281
1116 W GANSON ST
Jackson, MI 49202
(877) 852-8463
✔ PECOS✔ Accepts MedicareSame address
Lindsay Klumpp, O.D.
Optometry
NPI 1174923189
850 W NORTH ST STE. 100
Jackson, MI 49202
(877) 852-8463
✔ PECOS✔ Accepts Medicare0.3 mi
Surendar Purohit, M.D.
Ophthalmology
NPI 1205824547
850 W NORTH ST STE 100
Jackson, MI 49202
(517) 841-3033
✔ PECOS✔ Accepts Medicare1.7 mi
Carmelina Gordon, M.D.
Ophthalmology
NPI 1952399297
850 W NORTH ST STE 100
Jackson, MI 49202
(877) 852-8463
✔ PECOS✔ Accepts Medicare11 mi
Anthony Sensoli, MD
Ophthalmology
NPI 1417952839
1600 COMMERCE PARK DR STE 100
Chelsea, MI 48118
(734) 475-5970
✔ PECOS✔ Accepts Medicare21 mi
Chris Kramer, O.D.
Optometry
NPI 1245221969
1995 CEDAR ST STE. 1
Holt, MI 48842
(517) 699-3937
✔ PECOS✔ Accepts Medicare27 mi
Abigail Hartle, OD
Optometry
NPI 1336766153
3390 E JOLLY RD
Lansing, MI 48910
(269) 342-1405
✔ PECOS✔ Accepts Medicare30 mi
Lance Lemon, M.D.
Ophthalmology
NPI 1669490702
3390 E JOLLY RD
Lansing, MI 48910
(517) 393-2020
✔ PECOS✔ Accepts Medicare30 mi
William Rhoades, M.D.
Ophthalmology
NPI 1750692703
1801 W MAUMEE ST STE 100
Adrian, MI 49221
(517) 265-6131
✔ PECOS✔ Accepts Medicare30 mi
Marcus Rhem, M.D.
Ophthalmology
NPI 1043208358
1515 LAKE LANSING RD SUITE H
Lansing, MI 48912
(800) 551-7347
✔ PECOS✔ Accepts Medicare35 mi
Jamie Shay, OD
Optometry
NPI 1003063306
1515 LAKE LANSING RD STE H
Lansing, MI 48912
(517) 487-6511
✔ PECOS✔ Accepts Medicare35 mi
Clint Simpson, M.D.
Ophthalmology
NPI 1053553719
1515 LAKE LANSING RD STE H
Lansing, MI 48912
(517) 487-6511
✔ PECOS✔ Accepts Medicare35 mi
Philip Pelton
Optometry
NPI 1275117319
255 ROMENCE RD
Portage, MI 49024
(269) 324-0800
✔ PECOS✔ Accepts Medicare60 mi
See all 40 clinicians

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 Mid Michigan Eye Care Center, PC's NPI number?

The NPI number for Mid Michigan Eye Care Center, PC is 1649275041. It was assigned to this organization in the NPPES registry on June 14, 2005. The provider is doing business as Specialty Eye Institute.

Where is Mid Michigan Eye Care Center, PC located?

Mid Michigan Eye Care Center, PC is located at 1116 W. Ganson Street, Jackson, MI 49202. The listed phone number is (877) 852-8463.

What is Mid Michigan Eye Care Center, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mid Michigan Eye Care Center, PC enrolled in Medicare?

Yes. Mid Michigan Eye Care Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid Michigan Eye Care Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid Michigan Eye Care Center, PC. 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. The largest specialties are Ophthalmology (22) and Optometry (18). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid Michigan Eye Care Center, PC 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 list Mid Michigan Eye Care Center, PC 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 Mid Michigan Eye Care Center, PC was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.