Signature Eye Care PC – Optometrist, NPI 1508248071

Signature Eye Care PC is a healthcare provider. based in Belmont, Michigan. specializing in Optometrist. The organization holds a License No. 4901004360 (MI). The NPI Number for Signature Eye Care PC is 1508248071

Main info

Organization
Name
Signature Eye Care PC
NPI
1508248071
Phone
(616) 228-4790
Address
6290 JUPITER AVE NE STE A
Authorized Official
DR. MANDY RUSSELL PRESIDENT OD
Enumeration Date
22 June 2015
Last Update Date
30 July 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness80
Years active:10State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Signature Eye Care PC

  • 6290 JUPITER AVE NE STE A

    BELMONT, MI 493068885

    Phone: (616) 228-4790

    Mailing address matches the actual address.

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: 2015-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1015 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
O20150812008081OClinic/Group PracticeMI2023-08-31

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.

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 49306)

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Reviews

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Frequently asked questions

How do I look up Signature Eye Care PC by NPI?
Use NPI 1508248071 when you need to reference Signature Eye Care PC in forms, claims, or directories.
Is Signature Eye Care PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Signature Eye Care PC's specialty in plain language?
Clinically, the directory lists Signature Eye Care PC with Optometrist. Clinical services aligned with this taxonomy classification.
Does Signature Eye Care PC practice in Michigan?
You will see Belmont, Michigan on file for Signature Eye Care PC alongside any extra practice locations.
Is Signature Eye Care PC a real provider?
This page reflects official NPPES data for NPI 1508248071. Always confirm identity and privileges with the practice and licensing boards.

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