SAMANTHA RENEE GAGNON (NPI# 1184157596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184157596 |
Entity Type | Individual |
Full Name | SAMANTHA RENEE GAGNON |
Credential | OD |
Practice Address |
7500 Challis Rd Brighton MI 48116-9416 |
Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
Practice Telephone | 8102634000 |
Mailing Telephone | 7346475299 |
Enumeration Date | 2017-04-04 |
Last Update Date | 2020-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 4901005125 | MI | Eye and Vision Services Providers |
N | 152W00000X | Optometrist | 046011091 | IL | Eye and Vision Services Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3241 S Michigan Ave, Chicago, IL 606164201 | 3129497751 |
Street Address |
7500 CHALLIS RD |
City | BRIGHTON |
State | MI |
Zip Code | 48116-9416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790734564 | Rajan Ravikumar | Allergy & Immunology | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2006-05-09 |
1346715299 | Chelsey Wood | Physical Therapy Assistant | 7500 Challis Rd, Brighton, MI 48116 | 2018-10-08 |
1902388689 | Meghann Christine Deering | Social Worker | 7500 Challis Rd, Brighton, MI 48116-9416 | 2018-08-30 |
1124506712 | Regents of The University of Michigan | Pharmacy | 7500 Challis Rd, Brighton, MI 48116 | 2018-08-06 |
1477031185 | Regents of The University of Michigan | Pharmacy | 7500 Challis Rd, Brighton, MI 48116 | 2018-08-03 |
1952895997 | Kelly Ann Hardy | Social Worker | 7500 Challis Rd, Brighton, MI 48116-9416 | 2018-06-21 |
1144711516 | Regents of The University of Michigan | Clinic/Center | 7500 Challis Rd, Brighton, MI 48116 | 2018-05-22 |
1770011108 | Jessica Lynn Ball | Physician Assistant | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116 | 2017-05-30 |
1639622541 | Donna Kallio Wolbers | Physician Assistant | 7500 Challis Rd, Brighton, MI 48116-9416 | 2016-07-27 |
1578913372 | Kiley Alyssa Bastien | Physician Assistant | 7500 Challis Rd, Floor 2, Brighton, MI 48116-9416 | 2016-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
Find all providers in zip 48116 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619493160 | Hanieh Yaghoobi | Optometrist | 62 Dunboy St, Brighton, MA 02135 | 2017-08-16 |
1750734463 | Danny Sanchez | Optometrist | 1001 E Bridge St, Ste A, Brighton, CO 80601-2275 | 2016-07-18 |
1982992145 | Diana Rose Green | Optometrist | 11 Nevins St Ste 205, Brighton, MA 02135-3514 | 2011-07-21 |
1972836492 | All Eyes On You Vision Care, P.C. | Optometrist | 9407 E 147th Pl, Brighton, CO 80602-5713 | 2009-09-16 |
1225218530 | Kellie Dawn Stennis | Optometrist | 193 S 27th Ave, Suite 400, Brighton, CO 80601-2661 | 2007-11-05 |
1083745665 | Michael Diperna | Optometrist | 2171 Prairie Center Parkway, Brighton, CO 80601-7000 | 2007-03-08 |
1285780304 | Mark Joseph Grabowski | Optometrist | 455 East Grand River, Brighton, MI 48116 | 2007-01-25 |
1952450256 | Shelly Chumbler Spurgess | Optometrist | 9412 Village Place Blvd, Brighton, MI 48116-2084 | 2007-01-09 |
1235213166 | David M. Soll | Optometrist | 8 Wiltshire Rd, Brighton, MA 02135-3937 | 2006-10-25 |
1497843569 | Randy Gregg Watsky | Optometrist | 8709 W Grand River Ave, Suite A, Brighton, MI 48116-2923 | 2006-10-11 |
Find all providers in BRIGHTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.