SAULT TRIBE OF CHIPPEWA INDIANS
NPI 1902074586
Optometrist in Sault Sainte Marie, MI

Q: What is Sault Tribe Of Chippewa Indians's NPI number?

The NPI number for Sault Tribe Of Chippewa Indians is 1902074586. It was assigned to this organization in the NPPES registry on February 15, 2008.

Q: What is Sault Tribe Of Chippewa Indians's specialty?

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

Active since February 15, 2008

2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783(906) 632-5200(906) 632-5276 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sault Tribe Of Chippewa Indians NPPES

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

SAULT TRIBE OF CHIPPEWA INDIANS (NPI 1902074586) is a healthcare organization registered as an optometrist in Sault Sainte Marie, Michigan and active in the NPI registry since February 2008. The organization lists Bonnie L Culfa, Division Of Health Director, as its authorized official.

NPPES Registry Identity

NPI1902074586

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSAULT TRIBE OF CHIPPEWA INDIANS

Location Address2864 ASHMUN STSault Sainte Marie, MI 49783-3740

Mailing Address2864 Ashmun StSault Sainte Marie, MI 49783-3740 · (906) 632-5200 · Fax (906) 632-5276

Phone(906) 632-5200

Fax(906) 632-5276

Organization SubpartNo

Authorized OfficialBonnie L CulfaDivision Of Health Director · (906) 632-5200

Enumeration DateFebruary 15, 2008

Last NPPES UpdateMay 30, 2008

✔ NPI 1902074586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

2864 ASHMUN ST, Sault Sainte Marie, MI 49783

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Other Identifiers 6

Medicare OSCAR/certification231841

Medicare OSCAR/certification231838

Medicare OSCAR/certification231842

Medicare PIN0A76010MI

Other0A76010MI · Bc/bs Of Mi

Medicare OSCAR/certification231843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Sault Tribe Of Chippewa Indians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sault Tribe Of Chippewa Indians, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dale Johnson, O.D.

Optometry

NPI 1629029095

724 CEDAR ST
Sault Sainte Marie, MI 49783

(906) 632-2020

✔ PECOS1.7 mi

Krysta Hinman, O.D.

Optometry

NPI 1194829382

1140 N STATE ST
Saint Ignace, MI 49781

(906) 643-8689

✔ PECOS✔ Accepts Medicare46 mi

Dale Muth, O.D.

Optometry

NPI 1659380293

504 W HARRIE ST
Newberry, MI 49868

(906) 293-9276

✔ PECOS✔ Accepts Medicare56 mi

Benjamin Lawless, OD

Optometry

NPI 1437717329

1617 N WEST AVE
Jackson, MI 49202

(517) 780-3828

✔ PECOS✔ Accepts Medicare290 mi

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 Sault Tribe Of Chippewa Indians's NPI number?

The NPI number for Sault Tribe Of Chippewa Indians is 1902074586. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Sault Tribe Of Chippewa Indians located?

Sault Tribe Of Chippewa Indians is located at 2864 Ashmun St, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-5200.

What is Sault Tribe Of Chippewa Indians's specialty?

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

Is Sault Tribe Of Chippewa Indians enrolled in Medicare?

Yes. Sault Tribe Of Chippewa Indians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sault Tribe Of Chippewa Indians?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Sault Tribe Of Chippewa Indians. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sault Tribe Of Chippewa Indians accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sault Tribe Of Chippewa Indians 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 Sault Tribe Of Chippewa Indians was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.