Organization Active NPI

In Focus Eyecare Associates PC

  • Optometrist
  • Wayne, MI
National Provider Identifier
1306992342
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002988 Issued in MI
Legal business name
IN FOCUS EYECARE ASSOCIATES PC
Practice address
35119 E Michigan Ave
Wayne, MI 48184-1660
Phone
(734) 721-5442
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael WarmuskerkenNPI 1144412735
Title
President
Phone
(734) 721-5442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002988 MI Primary

Addresses

Primary practice location

35119 E Michigan Ave
Wayne, MI 48184-1660

Mailing address

35119 E Michigan Ave
Wayne, MI 48184-1660

Other identifiers 2

IdentifierTypeStateIssuer
900H28077OtherMIBCBS
944287226MedicaidMI

National Provider Directory

National Provider Directory

Locations

35119 E Michigan Ave
Wayne, MI 48184
Phone (734) 407-8877

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1306992342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35119 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35119 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841660",
            "telephone_number": "734-721-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FOCUS EYECARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WARMUSKERKEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-721-5442"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900H28077",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944287226",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.