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Deactivated NPI 1487794533 Deactivated / Inactive NPI Female Practitioner

Dr. Lidia Sistick , OD

Optometrist • Warren, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lidia Sistick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2007
NPI Deactivation Date June 18, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Lidia Sistick, OD was a registered Optometrist practicing in Warren, MI. Throughout an active medical career spanning 14 years, Dr. Sistick provided care at the practice location at 13812 E 14 MILE RD until profile deactivation on 2021-06-18.

Practice Location & Contact Primary Location

Practice Address

13812 E 14 Mile Rd

Warren, MI 480881488

Telephone 5862961600
Fax 5862964842

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.4 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Warren, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901003624

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2021

Record deactivated on June 18, 2021

NPI Profile Active March 12, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 12, 2010

Registered at 13812 E 14 MILE RD, WARREN, MI 480881488 (Tel: 5862961600)

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Updated Business Mailing Address March 12, 2010

Registered at 13812 E 14 MILE RD, WARREN, MI 480881488 (Tel: 5862961600)

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Provider Name / Credentials Updated March 12, 2010

Recorded as LIDIA SISTICK, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2010

Optometrist (License #4901003624 in MI)

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Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487794533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: March 12, 2010
Deactivation Date: June 18, 2021

Mailing Address

13812 E 14 Mile Rd

Warren, MI 480881488

Phone: 5862961600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.