Organization Active NPI

Stony Creek Eye Care PLLC

Doing business as ExpertEyes

  • Corneal and Contact Management Optometrist
  • Washington, MI
National Provider Identifier
1033565213
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4901004456 Issued in MI
Legal business name
STONY CREEK EYE CARE PLLC
Doing business as
ExpertEyes
Practice address
8703 26 Mile Rd
Washington, MI 48094-2967
Phone
(586) 992-3700
Fax
(586) 992-3706
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marie Dorau
Title
Office Manager
Phone
(586) 992-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4901004456 MI Primary
Low Vision Rehabilitation Optometrist 152WL0500X 4901004456 MI

Addresses

Primary practice location

8703 26 Mile Rd
Washington, MI 48094-2967

Mailing address

8703 26 Mile Rd
Washington, MI 48094-2967
Phone (586) 992-3700

Other names 1

  • ExpertEyes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160613001421 MI Part B Supplier - Clinic/Group Practice 9032409511 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, MI

National Provider Directory

National Provider Directory

Locations

8703 26 Mile Rd
Washington Township, MI 48094
Phone (586) 992-3700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1033565213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 26 MILE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942967",
            "telephone_number": "586-992-3700",
            "fax_number": "586-992-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 26 MILE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942967",
            "telephone_number": "586-992-3700",
            "fax_number": "586-992-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY CREEK EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "DORAU",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-992-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004456",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MI",
            "license": "4901004456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExpertEyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.