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Dr. James S Engstrom, O.D.

Optometrist in Livonia, MI. Individual provider (NPI-1).

NPI number1124286471
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1124286471
Entity type
Individual (NPI-1)
Name
Dr. James S Engstrom
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2008
Last updated
May 22, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4901003004MIYes

Practice location

13700 Middlebelt Rd
Livonia, MI 48150-2215

Phone 734-427-2944

Mailing address

13700 Middlebelt Rd
Livonia, MI 48150-2215

Phone 734-427-2944

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Livonia, MI

All 39 Optometrist providers in Livonia · All 6,099 providers in Livonia

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