Active NPI
Yvonne Marie Kwapis, O.D.
- Optometrist
- Freeland, MI
National Provider Identifier
1023005279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003682
- Practice address
- 10344 Thor Dr Ste B
Freeland, MI 48623-8430 - Phone
- (989) 692-2020
- Fax
- (989) 692-2021
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003682 | MI | Primary |
Addresses
Primary practice location
10344 Thor Dr Ste B
Freeland, MI 48623-8430
Mailing address
10344 Thor Dr Ste B
Freeland, MI 48623-8430
Phone (989) 692-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KW0712651 | Other | MI | OLD PIN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003682 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1023005279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10344 THOR DR STE B",
"city": "FREELAND",
"state": "MI",
"postal_code": "486238430",
"telephone_number": "989-692-2020",
"fax_number": "989-692-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10344 THOR DR STE B",
"city": "FREELAND",
"state": "MI",
"postal_code": "486238430",
"telephone_number": "989-692-2020",
"fax_number": "989-692-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAPIS",
"first_name": "YVONNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OLD PIN NUMBER",
"identifier": "KW0712651",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.