Cynthia M Kaczmarek

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002311 Issued in MI

Legal business name

CYNTHIA M KACZMAREK

Doing business as

Eyecare Connection

Practice address

2942 E Highland Rd
Highland, MI 48356-2810

Phone

(248) 887-4175

NPI assigned

Feb 7, 2007

Last updated

Nov 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia M KaczmarekNPI 1861518607

Title

Owner

Phone

(248) 887-4175

Specialties & licenses 2

Addresses

Other names 1

• EYECARE CONNECTION Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Mark Kaczmarek, OD

  • Optometrist
  • Highland, MI
  • NPI 1144800442
  Medicare reassignment NPD
• David S Klar, O.D.

  • Optometrist
  • Highland, MI
  • NPI 1013033869
  Medicare reassignment NPD
• Cynthia M Kaczmarek

  • Optician
  • Highland, MI
  • NPI 1861518607
  NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1164562393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA M KACZMAREK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "KACZMAREK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-887-4175"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002311",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYECARE CONNECTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayleah Crosby
• Shannon Brianna Cross
• Csy, PLLC (Suburban Dental Care)
• Deanna Lynne Cueny, P.T.
• Kelly Cunningham, CCC-SLP
• Kim Czarnota
• Amir Dababneh, M.ED., MPH,
• Brooke Davey, PHARM.D.
• Nicole Ann Davis, PT, DPT
• Dawn Dawson

• Optometrist in Highland, MI
• Providers in Highland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.