Active NPI
West Arbor Eye Care PLLC
- Optometrist
- Ann Arbor, MI
National Provider Identifier
1023786563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WEST ARBOR EYE CARE PLLC
- Practice address
- 5609 Jackson Rd. Ste. 104
Ann Arbor, MI 48103 - Phone
- (734) 369-3215
- Fax
- (734) 369-3995
- NPI assigned
- Aug 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Gaffka, OD
- Title
- Optometrist
- Phone
- (734) 968-6471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
5609 Jackson Rd. Ste. 104
Ann Arbor, MI 48103
Mailing address
5609 Jackson Rd. Ste. 104
Ann Arbor, MI 48103
Phone (734) 369-3215
Other names 1
- West Arbor Eye Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Novi, MI
- NPI 1023754546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1023786563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5609 JACKSON RD. STE. 104",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-369-3215",
"fax_number": "734-369-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5609 JACKSON RD. STE. 104",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-369-3215",
"fax_number": "734-369-3995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ARBOR EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-31",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "GAFFKA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "734-968-6471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Arbor Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.