ADVANCED EYECARE OF MICHIGAN
NPI 1730347808
Preferred Provider Organization in Clarkston, MI

Active since May 27, 2008
5874 DIXIE HWY, CLARKSTON, MI 48346(248) 620-1100(248) 620-1196 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Eyecare Of Michigan NPPES

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

ADVANCED EYECARE OF MICHIGAN (NPI 1730347808) is a healthcare organization registered as a preferred provider organization in Clarkston, Michigan and active in the NPI registry since May 2008. The organization lists Janet Hurst, Billing, as its authorized official.

NPPES Registry Identity

NPI1730347808
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameTODD STANISZEWSKI OD PC
Location Address5874 DIXIE HWYClarkston, MI 48346-3358
Mailing Address5874 Dixie HwyClarkston, MI 48346-3358 · (248) 620-1100 · Fax (248) 620-1196
Fax(248) 620-1196
Organization SubpartNo
Authorized OfficialJanet HurstBilling · (248) 620-1100
Enumeration DateMay 27, 2008
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1730347808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MI · 4901003704
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
5874 DIXIE HWY, Clarkston, MI 48346

Other Names 1

Doing Business AsAdvanced Eyecare Of Michigan

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)

Advanced Eyecare Of Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20100326000045Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Eyecare Of Michigan, 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)

Optometry
NPI 1801806856
5874 DIXIE HWY
Clarkston, MI 48346
(248) 620-1100
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1477780658
7117 DIXIE HWY
Clarkston, MI 48346
(248) 620-1100
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Advanced Eyecare Of Michigan carries, from the Medicare DMEPOS supplier directory.

Advanced Eyecare Of Michigan

DMEPOS supplier · Clarkston, MIOperated by Todd Staniszewski Od PC
✔

Accepts Medicare assignment

Advanced Eyecare Of Michigan 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)20552141
Medicare Participant SinceMay 1, 2009
Supplier Location5874 Dixie HwyClarkston, MI 48346
Supplier Specialties
Optometrist Optician

Medicare Product Categories

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

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 Todd Staniszewski Od PC's NPI number?

The NPI number for Todd Staniszewski Od PC is 1730347808. It was assigned to this organization in the NPPES registry on May 27, 2008. The provider is doing business as Advanced Eyecare Of Michigan.

Where is Todd Staniszewski Od PC located?

Todd Staniszewski Od PC is located at 5874 Dixie Hwy, Clarkston, MI 48346. The listed phone number is (248) 620-1100.

What is Todd Staniszewski Od PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Todd Staniszewski Od PC enrolled in Medicare?

Yes. Todd Staniszewski Od PC is registered in the Medicare PECOS enrollment system.

When is Todd Staniszewski Od PC'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 March 31, 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 Todd Staniszewski Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Todd Staniszewski Od 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. 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 Todd Staniszewski Od PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Advanced Eyecare Of Michigan accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Todd Staniszewski Od PC 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 Todd Staniszewski Od 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 Todd Staniszewski Od PC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.