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
- Title
- Manager
- Phone
- (989) 792-8686
Practitioners 4
-
C. Steven Kocks, O.D.
-
Kylie Louise Kaczmarczyk, O.D.
-
Luann R Rickel, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Corneal and Contact Management Optometrist |
152WC0802X | |||
| Pediatric Optometrist |
152WP0200X | |||
| Sports Vision Optometrist |
152WS0006X | |||
| Vision Therapy Optometrist |
152WV0400X | |||
| Contact Lens Technician/Technologist |
156FC0800X | |||
| Optician |
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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 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.