Active NPI
Jeff Hayden Vision Care Center Inc
- Optometrist
- Brighton, MI
National Provider Identifier
1245676485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003926
- Legal business name
- JEFF HAYDEN VISION CARE CENTER INC
- Practice address
- 420 E Grand River Ave
Brighton, MI 48116-1516 - Phone
- (810) 227-2004
- Fax
- (810) 227-9910
- NPI assigned
- May 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyndi Urbancic
- Title
- Manager
- Phone
- (810) 227-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003926 | MI | Primary |
Addresses
Primary practice location
420 E Grand River Ave
Brighton, MI 48116-1516
Mailing address
420 E Grand River Ave
Brighton, MI 48116-1516
Phone (810) 227-2004
Other names 1
- cook & hayden llc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
420 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2004
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brighton, MI
- NPI 1194858217
-
- Optometrist
- Brighton, MI
- NPI 1891755120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1245676485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161516",
"telephone_number": "810-227-2004",
"fax_number": "810-227-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161516",
"telephone_number": "810-227-2004",
"fax_number": "810-227-9910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF HAYDEN VISION CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "URBANCIC",
"authorized_official_first_name": "CYNDI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "810-227-2004"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901003926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "cook & hayden llc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.