Active NPI
Kendale Leverette
- Contact Lens Fitter
- Detroit, MI
National Provider Identifier
1255207528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- License
- BRIGHT
- Practice address
- 19185 Asbury Park
Detroit, MI 48235-2402 - Phone
- (313) 800-8722
- NPI assigned
- Oct 14, 2025
- Last updated
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | BRIGHT | MI | Primary |
Addresses
Primary practice location
19185 Asbury Park
Detroit, MI 48235-2402
Mailing address
19185 Asbury Park
Detroit, MI 48235-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BRIGHT | MI | MD | Contact Lens Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1255207528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19185 ASBURY PARK",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19185 ASBURY PARK",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352402",
"telephone_number": "313-800-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVERETTE",
"first_name": "KENDALE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "MI",
"license": "BRIGHT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.