Organization Active NPI

Cherry Optometry, P.C.

  • Optometrist
  • Chelsea, MI
National Provider Identifier
1073832846
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003326 Issued in MI
Legal business name
CHERRY OPTOMETRY, P.C.
Practice address
314 N Main St
Chelsea, MI 48118-1280
Phone
(734) 475-3800
Fax
(734) 475-3821
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Paula Elaine Koch, O.D.NPI 1215969639
Title
Optometrist
Phone
(734) 475-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003326 MI Primary

Addresses

Primary practice location

314 N Main St
Chelsea, MI 48118-1280

Mailing address

314 N Main St
Chelsea, MI 48118-1280
Phone (734) 475-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000868 MI Part B Supplier - Clinic/Group Practice 4880892629 Receives reassigned benefits from 2 practitioners
Practice locations: Chelsea, MI

National Provider Directory

National Provider Directory

Locations

314 N Main St
Chelsea, MI 48118
Phone (734) 475-3800

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": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1073832846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181280",
            "telephone_number": "734-475-3800",
            "fax_number": "734-475-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181280",
            "telephone_number": "734-475-3800",
            "fax_number": "734-475-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "734-475-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.