Active NPI
Eyecare Associates of Haslett, PC
- Occupational Vision Optometrist
- Perry, MI
National Provider Identifier
1114915196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- Legal business name
- EYECARE ASSOCIATES OF HASLETT, PC
- Practice address
- 124 N Main
Perry, MI 48872-5103 - Phone
- (517) 697-0845
- NPI assigned
- Oct 12, 2005
- 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
- Penny Jackson
- Title
- Biller
- Phone
- (517) 697-0845
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Low Vision Rehabilitation Optometrist | 152WL0500X | |||
| Pediatric Optometrist | 152WP0200X | |||
| Occupational Vision Optometrist | 152WX0102X | Primary |
Addresses
Primary practice location
124 N Main
Perry, MI 48872-5103
Mailing address
PO Box 116
Perry, MI 48872-0116
Phone (517) 697-0845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900C31188-0 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Perry, MI
- NPI 1912995986
-
- Occupational Vision Optometrist
- Haslett, MI
- NPI 1639167505
-
- Optometrist
- Chandler, AZ
- NPI 1235213273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1114915196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "PERRY",
"state": "MI",
"postal_code": "488720116",
"telephone_number": "517-697-0845",
"fax_number": "517-940-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N MAIN",
"city": "PERRY",
"state": "MI",
"postal_code": "488725103",
"telephone_number": "517-697-0845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE ASSOCIATES OF HASLETT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "PENNY",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "517-697-0845"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "900C31188-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.