Normandy Optical – Optometrist, NPI 1124189089
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Normandy Optical
64641 Van Dyke Rd
Washington, MI 480952584
Phone: (586) 725-4477
Fax: (586) 775-0397
Type: Location
32525 Mound Rd
Warren, MI 480923828
Phone: (586) 268-4466
Fax: (586) 775-0397
Type: Location
36838 Ryan Rd
Sterling Heights, MI 483104455
Phone: (586) 978-7232
Fax: (586) 775-0397
Type: Location
6891 Orchard Lake Rd
West Bloomfield, MI 483223415
Phone: (248) 855-5810
Fax: (586) 775-0397
Type: Location
47093 Hayes Rd
Shelby Township, MI 483154909
Phone: (586) 737-4733
Fax: (586) 775-0397
Type: Location
137 S Livernois Rd
Rochester Hills, MI 483071837
Phone: (248) 652-0600
Fax: (586) 775-0397
Type: Location
32090 23 Mile Rd
Chesterfield, MI 480471901
Phone: (586) 725-5600
Fax: (586) 775-0397
Type: Location
23620 HARPER AVE
SAINT CLAIR SHORES, MI 480801448
Phone: (586) 775-6733
Fax: (586) 775-0397
Type: Location
Harper Avenue, Saint Clair Shores, Macomb County, Michigan, 48036, United States
SAINT CLAIR SHORES, MI 480801271
Phone: (586) 775-6733
Fax: (586) 775-0397
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (986 days ago).
Enrollment records
2
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090819000127 | O | Clinic/Group Practice | MI | 2023-09-30 |
| O20100930025371 | O | Physician - Optometrist | MI | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 48095)
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Reviews
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