Cynthia M Kaczmarek
Organization Active NPI Optometrist · Highland, MI
NPI 1164562393 · NPPES record last updated Nov 19, 2013
Key facts
- NPI
- 1164562393
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901002311 (MI)
- Legal business name
- CYNTHIA M KACZMAREK
- Practice address
- 2942 E Highland Rd
Highland, MI 48356-2810 - Phone
- (248) 887-4175
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Cynthia M Kaczmarek
- Title
- Owner
- Phone
- (248) 887-4175
Practitioners 3
-
Mark Kaczmarek, OD
-
David S Klar, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130723000282 | MI | Part B Supplier - Clinic/Group Practice | 3274774971 |
Receives reassigned benefits from 2 practitioners Practice locations: Highland, MI; Waterford, MI |
National Provider Directory
Locations
2942 E Highland Rd
Highland, MI 48356
Phone (248) 887-4175
6756 Highland Rd
Waterford, MI 48327
Phone (248) 666-9700
5707 Dixie Hwy
Waterford, MI 48329
9135 Highland Rd
Ste 7
White Lake, MI 48386
Phone (248) 666-9700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4901002311 | MI | Yes |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
2942 E Highland Rd
Highland, MI 48356-2810
Mailing address
2942 E Highland Rd
Highland, MI 48356-2810
Other names
- EYECARE CONNECTION
Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.