Paul M Damlo, OD in Grosse Pointe Woods, MI - Medicare Optometrist Provider

Paul M Damlo, OD is a medicare enrolled "Optometrist" provider in Grosse Pointe Woods, Michigan. His current practice location is 20525 Mack Ave, Grosse Pointe Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 881-6622.

Paul M Damlo is licensed to practice in Michigan (license number 4901005565) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083645626.

Contact Information

	Paul M Damlo, OD
	20525 Mack Ave, Grosse Pointe Woods, MI 48236-1655
	(313) 881-6622
	(313) 881-9380

Map and Direction

Healthcare Provider's Profile

Full Name	Paul M Damlo
Gender	Male
Speciality	Optometrist
Location	20525 Mack Ave, Grosse Pointe Woods, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083645626
Provider Enumeration Date: 07/05/2006
Last Update Date: 08/19/2025

Medicare PECOS Information:

PECOS PAC ID: 4486792884
Enrollment ID: I20230223001858

Medical Identifiers

Medical identifiers for Paul M Damlo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083645626	NPI	-	NPPES
329316500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2476 (Minnesota)	Secondary
152W00000X	Optometrist	4901005565 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul M Damlo allows following entities to bill medicare on his behalf.

Provider Name	Eye Care For Detroit
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396551701 PECOS PAC ID: 3678002961 Enrollment ID: O20250131001207

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. Paul M Damlo 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 Address	Practice Location Address
Paul M Damlo, OD 20525 Mack Ave, Grosse Pointe Woods, MI 48236-1655 Ph: (313) 881-6622	Paul M Damlo, OD 20525 Mack Ave, Grosse Pointe Woods, MI 48236-1655 Ph: (313) 881-6622

Reviews and Comments

Optometrist in Grosse Pointe Woods, MI

Amna Vahidy, Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-7883
Mrs. Meredith Free Carrel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19599 Mack Avenue, Grosse Pointe Woods, MI 48236 Phone: 313-882-9711 Fax: 313-882-9620
Dr. Albert Defever, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19329 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-3249 Fax: 313-881-0124
Sophia Yang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19173 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-7883
Dr. Krista Marie Anderson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19637 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-6622 Fax: 313-881-9380
Dr. Lisa Renee Lagassa, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20525 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-6622 Fax: 313-881-9380

Paul M Damlo, OD - Medicare Optometrist in Grosse Pointe Woods, MI