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MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
NPI 1770239691
Ophthalmology in Pontiac, MI

Active since March 01, 2022
44555 WOODWARD AVE STE 203, PONTIAC, MI 48341(248) 334-4931 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michigan Ophthalmology Specialists, Pllc NPPES

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

MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC (NPI 1770239691) is a healthcare organization registered as an ophthalmology in Pontiac, Michigan and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Clarkston and lists Beverly Zwicker, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1770239691
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Location Address44555 WOODWARD AVE STE 203Pontiac, MI 48341-5033
Mailing Address30150 Telegraph Rd Ste 271Bingham Farms, MI 48025-4521 · (248) 395-5175
Phone(248) 334-4931
Organization SubpartNo
Authorized OfficialBeverly ZwickerCredentialing Manager · (248) 395-5175
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1770239691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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
44555 WOODWARD AVE STE 203, Pontiac, MI 48341
Open in Google Maps ↗

Secondary Practice Location 1

Location 16875 Dixie HwyClarkston, MI 48346-5106 · Phone (248) 625-5922

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Ophthalmology Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20230215000736DME · Physician - OptometristDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Michigan Ophthalmology Specialists carries, from the Medicare DMEPOS supplier directory.

Michigan Ophthalmology Specialists

DMEPOS supplier · Pontiac, MIOperated by Michigan Ophthalmology Specialists PLLC
✔

Accepts Medicare assignment

Michigan Ophthalmology Specialists 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)20629679
Medicare Participant SinceFebruary 16, 2000
Supplier Location44555 Woodward Ave Ste 203Pontiac, MI 48341
Phone(248) 334-4931
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract 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 5

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

AMY L SMITH MD
Ophthalmology
44555 WOODWARD AVE STE 203
PONTIAC, MI 48341
Oakland County (248) 334-4931
DR. SEVAK VALIJAN M.D.
Ophthalmology
44555 WOODWARD AVE STE 203
PONTIAC, MI 48341
Oakland County (248) 334-4931
AREZO AMIRIKIA M.D.
Ophthalmology
44555 WOODWARD AVE STE 203
PONTIAC, MI 48341
Oakland County (248) 334-4931
DR. DEVON NICOLE ST LOUIS O.D.
Optometrist
44555 WOODWARD AVE STE 203
PONTIAC, MI 48341
Oakland County (248) 334-4931
SHERRY LYNN DUSTMAN O.D.
Optometrist
44555 WOODWARD AVE STE 203
PONTIAC, MI 48341
Oakland County (248) 334-4931

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 Michigan Ophthalmology Specialists, PLLC's NPI number?

The NPI number for Michigan Ophthalmology Specialists, PLLC is 1770239691. It was assigned to this organization in the NPPES registry on March 1, 2022.

Where is Michigan Ophthalmology Specialists, PLLC located?

Michigan Ophthalmology Specialists, PLLC is located at 44555 Woodward Ave Ste 203, Pontiac, MI 48341. The listed phone number is (248) 334-4931.

What is Michigan Ophthalmology Specialists, PLLC's specialty?

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

Is Michigan Ophthalmology Specialists, PLLC enrolled in Medicare?

Yes. Michigan Ophthalmology Specialists, PLLC is registered in the Medicare PECOS enrollment system.

When is Michigan Ophthalmology Specialists, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Michigan, Physician - Optometrist) is due for revalidation by November 30, 2026. 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.

Does Michigan Ophthalmology Specialists, PLLC accept Medicare assignment for medical equipment?

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

When was this NPI record last updated?

The NPPES record for Michigan Ophthalmology Specialists, PLLC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.