MICHAEL L SUSSEX OD
NPI 1184665259
Optometrist in Coldwater, MI
NPI Status: Active since June 09, 2006
Contact Information
350 MARSHALL ST
COLDWATER, MI
ZIP 49036
Phone: (517) 278-6303
Fax: (517) 279-8000
- Individual
- Male
- Optometrist
- Medicare Quality Reporting
About MICHAEL SUSSEX
This page provides the complete NPI Profile along with additional information for Michael Sussex, a provider established in Coldwater, Michigan with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1184665259 assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X with license number 4901002713 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1184665259
- Provider Name
- MICHAEL L SUSSEX OD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 MARSHALL ST COLDWATER, MI 49036
- Location Phone
- (517) 278-6303
- Location Fax
- (517) 279-8000
- Mailing Address
- 350 MARSHALL ST COLDWATER, MI 49036
- Mailing Phone
- (517) 278-6303
- Mailing Fax
- (517) 279-8000
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2006
- Last Update Date
- 10-25-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 4901002713
- License State
- MI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| OM60130 | MEDICARE PIN (08) | ||
| M60130003 | MEDICARE PIN (08) | ||
| MS002713 | OTHER (01) | BCBS | |
| M60150002 | MEDICARE PIN (08) | ||
| U11904 | MEDICARE UPIN (02) | ||
| OM60150 | MEDICARE PIN (08) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 100% | 28 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 6 | 6 | 5 | 2 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 6 | 10 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 6 + 1 + 0 + 2 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1184665259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104864313 | MICHAEL L SUSSEX OD PC Organization | Eyewear Supplier | 350 MARSHALL ST COLDWATER, MI 49036 (517) 278-6303 |
| 1386807105 | SUSSEX VISION CENTER Organization | Optometrist | 350 MARSHALL ST COLDWATER, MI 49036 (517) 278-6303 |
| 1972767689 | DR. JOHN RUSSELL SWANSON O.D. Individual | Optometrist | 350 MARSHALL ST COLDWATER, MI 49036 (517) 278-6303 |
| 1942357652 | TRI STATE OPTICAL, INC. Organization | Eyewear Supplier | 350 MARSHALL ST SUITE 2 COLDWATER, MI 49036 (517) 279-7951 |
| 1265020143 | BENNETT OPTOMETRY LLC Organization | Optometrist | 350 MARSHALL ST COLDWATER, MI 49036 (636) 200-4393 |
| 1730922865 | ELIZABETH VANDERPLOEG Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 241-2700 |
| 1861236457 | JESSICA GREEN Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 241-2700 |
| 1962221895 | CYNTHIA YEAGER Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 257-9060 |
| 1538982038 | ALYSSA SCOTT Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 257-9058 |
| 1316752132 | RILEY PARKS Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 257-9058 |
| 1376337790 | MELISSA HERNANDEZ Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 241-2700 |
| 1912791336 | MICHELLE PARKER Individual | Behavior Technician | 350 MARSHALL ST COLDWATER, MI 49036 (269) 241-2700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184665259, enumerated in the NPI registry as an "individual" on June 09, 2006
The provider is located at 350 Marshall St Coldwater, Mi 49036 and the phone number is (517) 278-6303
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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