Individual provider Active NPI

Kenneth D Pilon, O.D.

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1336202449
Registry record updated Mar 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003139 Issued in MI
Practice address
4580 State St
Green Acres Plaza
Saginaw, MI 48603-3803
Phone
(989) 799-0171
Fax
(989) 799-6500
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003139 MI Primary

Addresses

Primary practice location

4580 State St
Green Acres Plaza
Saginaw, MI 48603-3803

Mailing address

4580 State St
Saginaw, MI 48603-3803
Phone (989) 799-0171

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica Retail North America Inc Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267920000000",
    "number": "1336202449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033803",
            "telephone_number": "989-799-0171",
            "fax_number": "989-799-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 STATE ST",
            "address_2": "GREEN ACRES PLAZA",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033803",
            "telephone_number": "989-799-0171",
            "fax_number": "989-799-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILON",
        "first_name": "KENNETH",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; 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.