SAMANTHA RENEE GAGNON


Address: 7500 Challis Rd, Brighton, MI 48116-9416
Phone: 8102634000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3241 S Michigan Ave, Chicago, IL 606164201 3129497751

Office Location

Street Address 7500 CHALLIS RD
City BRIGHTON
State MI
Zip Code 48116-9416

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

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
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Competitor

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City BRIGHTON
Zip Code 48116

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Dataset Information

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.

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