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MADELINE MICHELLE SIMON OD
NPI 1740115328
Optometrist in Saint Clair Shores, MI

Active since June 16, 2026PECOS Enrolled
23620 HARPER AVE, SAINT CLAIR SHORES, MI 48080(586) 331-0794 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madeline Michelle Simon Od NPPES

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

MADELINE MICHELLE SIMON OD (NPI 1740115328) is an individual optometrist in Saint Clair Shores, Michigan, licensed in Michigan (4901005969) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2026).

NPPES Registry Identity

NPI1740115328
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMADELINE MICHELLE SIMONCredential: OD
Location Address23620 HARPER AVESaint Clair Shores, MI 48080-1448
Mailing Address23620 Harper AveSaint Clair Shores, MI 48080-1448 · (586) 331-0794
Phone(586) 331-0794
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2026
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1740115328 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 · 4901005969
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.
23620 HARPER AVE, Saint Clair Shores, MI 48080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Michelle Simon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628538485
PECOS Enrollment IDI20260901003329
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Madeline Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Normandy Optical Company, Inc
Same address
Optometrist
23620 HARPER AVE
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group
NPI 1124189089 (586) 775-6733

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NORMANDY OPTICAL COMPANY, INC
Optometrist
23620 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-6733
MS. HANNAH CHRISTINE LONG
Optometrist
23620 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (248) 836-8050
EMERSON GRACE LANKFORD
Optometrist
23620 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-6733
ANTHONY SESTO O.D.
Optometrist
23620 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-6733
CALVIN HABBA OD
Optometrist
23620 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-6733

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 Madeline Simon's NPI number?

The NPI number for Madeline Simon is 1740115328. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Madeline Simon located?

Madeline Simon practices at 23620 Harper Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 331-0794.

What is Madeline Simon's specialty?

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

Is Madeline Simon enrolled in Medicare?

Yes. Madeline Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madeline Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Simon reassigns Medicare benefits to Normandy Optical Company, Inc (Saint Clair Shores, MI). The 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 Madeline Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madeline Simon was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.