Specialty Eye Institute - Medicare in Jackson, MI

  1. Home
Specialty Eye Institute is a medicare enrolled "Ophthalmology" provider in Jackson, Michigan. Their current practice location is 1116 W. Ganson Street, Jackson, Michigan. You can reach out to their office (for appointments etc.) via phone at (877) 852-8463.

Specialty Eye Institute is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Specialty Eye Institute is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1649275041.

Contact Information

Specialty Eye Institute
1116 W. Ganson Street,
Jackson, MI 49202-4240
(877) 852-8463
(517) 817-0144

Map and Direction




Healthcare Provider's Profile

Full NameSpecialty Eye Institute
TypeFacility
SpecialityOphthalmology
Location1116 W. Ganson Street, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649275041
  • Provider Enumeration Date: 06/14/2005
  • Last Update Date: 11/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4486566098
  • Enrollment ID: O20031103000363

Medical Identifiers

Medical identifiers for Specialty Eye Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649275041NPI-NPPES
CC5220OtherMIRAILROAD MEDICARE
900H115380OtherBCBSM
180C846310OtherMIBCBSM
180H149970OtherMIBCBSM
900C848370OtherMIBCBSM
C31544OtherMIRAILROAD MEDICARE
900N834800OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology 4301034151 (Michigan)Secondary
207W00000XOphthalmology (* (Not Available))Primary
207WX0107XOphthalmology - Retina Specialist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Specialty Eye Institute acts as a billing entity for following providers:
Provider NameLuis C Gago
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1386704781
PECOS PAC ID: 0446219331
Enrollment ID: I20041006001052
Provider NameSurendar S Purohit
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1205824547
PECOS PAC ID: 2961449053
Enrollment ID: I20050411000611
Provider NameSujata S Purohit
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1922069939
PECOS PAC ID: 5597783050
Enrollment ID: I20051103000686
Provider NameDeborah Wu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760698245
PECOS PAC ID: 1557414000
Enrollment ID: I20090730000292
Provider NameMarcus N Rhem
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043208358
PECOS PAC ID: 9234041781
Enrollment ID: I20100109000192
Provider NameKevin T Lavery
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629073036
PECOS PAC ID: 4486566924
Enrollment ID: I20100202000280
Provider NameAnthony M Sensoli
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417952839
PECOS PAC ID: 8426960972
Enrollment ID: I20100319000448
Provider NameCarmelina M Gordon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952399297
PECOS PAC ID: 5395872881
Enrollment ID: I20100414000471
Provider NamePaul H Ernest
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508861659
PECOS PAC ID: 3072425529
Enrollment ID: I20100622000934
Provider NamePeter S Caroselli
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396826095
PECOS PAC ID: 6507025848
Enrollment ID: I20120306000930
Provider NameClint D Simpson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053553719
PECOS PAC ID: 3870727829
Enrollment ID: I20131008000124
Provider NameWilliam Robert Rhoades
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1750692703
PECOS PAC ID: 5991937385
Enrollment ID: I20160519001073
Provider NameMahmoud H El-yassir
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245590868
PECOS PAC ID: 4880984319
Enrollment ID: I20160613000062
Provider NameAlexander James Cherry
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053796730
PECOS PAC ID: 6901190040
Enrollment ID: I20200722003331
Provider NameSiyang Chaili
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1568026219
PECOS PAC ID: 2961861786
Enrollment ID: I20230711002019
Provider NameJoseph A Crapotta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326070020
PECOS PAC ID: 7719952720
Enrollment ID: I20240327002972

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Specialty Eye Institute is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Specialty Eye Institute
850 W. North Street, Ste. 104,
Jackson, MI 49202-3196

Ph: (877) 852-8463		Specialty Eye Institute
1116 W. Ganson Street,
Jackson, MI 49202-4240

Ph: (877) 852-8463

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.