Associates in Eyecare, PLC

Organization Active NPI Optometrist · Saginaw, MI

NPI 1174637565 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1174637565
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
ASSOCIATES IN EYECARE, PLC
Practice address
1885 N Center Rd
Saginaw, MI 48638-5565
Phone
(989) 792-8686
NPI assigned
Aug 19, 2006
Organization subpart
No

Authorized official

Name
C Steven Kocks, OD NPI 1134114531
Title
Manager
Phone
(989) 792-8686

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050523000263 MI Part B Supplier - Clinic/Group Practice 3173564952 Receives reassigned benefits from 4 practitioners
Practice locations: Hemlock, MI; Saginaw, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152W00000X Yes
Corneal and Contact Management Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152WC0802X
Pediatric Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152WP0200X
Sports Vision Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152WS0006X
Vision Therapy Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152WV0400X
Contact Lens Technician/Technologist
Group: 193200000X MULTI-SPECIALTY GROUP
156FC0800X
Optician
Group: 193200000X MULTI-SPECIALTY GROUP
156FX1800X
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1885 N Center Rd
Saginaw, MI 48638-5565

Mailing address

1885 N Center Rd
Saginaw, MI 48638-5565
Phone (989) 792-8686

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2013.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1174637565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385565",
            "telephone_number": "989-792-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385565",
            "telephone_number": "989-792-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN EYECARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "KOCKS",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-792-8686",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

All providers in Saginaw, MI · Optometrist in Michigan

Sources for this page

Verify at the official NPI Registry.