Kenzie Eye Care Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KENZIE EYE CARE INC.

Doing business as

elite eyecare centers

Practice address

44750 Ford Rd
Canton, MI 48187-2942

Phone

(734) 455-3190

Fax

(734) 455-1510

NPI assigned

Oct 26, 2006

Last updated

Jul 21, 2022By 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

Ms. Diane Branscomb

Title

Vice-President

Phone

(734) 455-3190

Specialties & licenses 1

Addresses

Other names 1

• elite eyecare centers Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kenzie Eye Care Inc.

  dba Dba Elite Eyecare Centers

  • Optometrist
  • Garden City, MI
  • NPI 1588857684

  O20050909000075

  Same enrollment

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.

• Julia Bao, OD

  • Optometrist
  • Garden City, MI
  • NPI 1356122584
  NPD (past)
• Mark Wesley Osorio, O.D.

  • Optometrist
  • Livonia, MI
  • NPI 1467666248
  NPD (past)
• Andrew H. Schmitzer, O.D.

  • Optometrist
  • Grand Ledge, MI
  • NPI 1841280641
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215012356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44750 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872942",
            "telephone_number": "734-455-3190",
            "fax_number": "734-455-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44750 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872942",
            "telephone_number": "734-455-3190",
            "fax_number": "734-455-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENZIE EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRANSCOMB",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "734-455-3190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "elite eyecare centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten Colleen Kelly, CPRC
• William Charles Kelly, DDS
• Diane Lynn Kelty, RN
• Kendall Behavioral Services LLC (Alicia Kendall)
• Marlene Marie Kennerly, MD
• Kathryn Jean Kern, CNM
• Keshav Care LLC
• Benjamin L Ketter, PA-C
• Jazmine Nicholle Keyes
• Kaitlin Keys

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.