COURTNEY AMANDA DEWEY (OD) – Optometrist, NPI 1346285210

COURTNEY AMANDA DEWEY (OD) is a healthcare provider. based in Ann arbor, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901004281 (MI). The NPI Number for COURTNEY AMANDA DEWEY (OD) is 1346285210

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY AMANDA DEWEY (OD)
NPI
1346285210
Phone
(734) 764-4190
Address
1000 Wall St
Enumeration Date
17 June 2006
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7347644190
Graduation Year
2003 (23 years ago)
PAC ID
1850205154
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20060714000014
Address ID
MI481051912AN1000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for COURTNEY AMANDA DEWEY (OD)

  • 1000 Wall St

    Ann Arbor, MI 481051912

    Phone: (734) 764-4190

    Type: Location

  • 7500 CHALLIS RD

    BRIGHTON, MI 481169416

    Phone: (810) 263-4000

    Type: Location

  • Brehm Tower, 1000, Wall Street, Ann Arbor, Washtenaw County, Michigan, 48105, United States

    ANN ARBOR, MI 481051912

    Phone: (734) 764-4190

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060714000014IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the registry number for COURTNEY AMANDA DEWEY (OD)?
The registry entry for COURTNEY AMANDA DEWEY (OD) shows NPI 1346285210.
Does the public listing show COURTNEY AMANDA DEWEY (OD) as active?
COURTNEY AMANDA DEWEY (OD)'s NPI record reflects an active status in NPPES.
How should patients interpret COURTNEY AMANDA DEWEY (OD)'s specialty?
The extract shows Optometrist for COURTNEY AMANDA DEWEY (OD). Clinical services aligned with this taxonomy classification.
Can patients visit COURTNEY AMANDA DEWEY (OD) in Ann Arbor, Michigan?
For routing, start with Ann Arbor, Michigan for COURTNEY AMANDA DEWEY (OD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.