Individual provider Active NPI

Jana Kadlec-Drennan, OD

  • Optometrist
  • Westland, MI
National Provider Identifier
1053451922
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003880 Issued in MI
Practice address
6565 N Wayne Rd
Westland, MI 48185-2713
Phone
(734) 728-5400
Fax
(734) 728-0117
NPI assigned
Feb 8, 2007
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003880 MI Primary

Addresses

Primary practice location

6565 N Wayne Rd
Westland, MI 48185-2713

Mailing address

6565 N Wayne Rd
Westland, MI 48185-2713
Phone (734) 728-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801000514 MI Practitioner - Optometry 9133227788 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jul 26, 2016 Accepting new patients
Visionworks, Inc Optometrist CurrentSince Jul 18, 2023 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jul 26, 2016 Accepting new patients
Visionworks, Inc CurrentSince Jul 18, 2023 Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients

Locations

3552 Highway 138 SE
Ste 200
Stockbridge, GA 30281

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

23055 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 399-1556

41472 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6500

22320 Goddard Rd
Taylor, MI 48180
Phone (313) 299-8870

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

10791 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 391-3080

2742 Washtenaw Rd
Ypsilanti, MI 48197
Phone (734) 572-8822

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1053451922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852713",
            "telephone_number": "734-728-5400",
            "fax_number": "734-728-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852713",
            "telephone_number": "734-728-5400",
            "fax_number": "734-728-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLEC-DRENNAN",
        "first_name": "JANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.