Kanwalpreet Kaur Pavone, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004502 Issued in MI

Practice address

4431 Hemmingway Dr
Kalamazoo, MI 49009-2465

Phone

(734) 634-6992

NPI assigned

Oct 28, 2008

Last updated

Jun 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kanwalpreet Kaur Bagri Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: preetypavone@direct.eyecare-partners.com

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

• Bennett Optometry LLC

  dba Bennett Optometry

  • Optometrist
  • Ann Arbor, MI
  • NPI 1992792154
  Medicare reassignment NPD
• Bennett Optometry LLC

  dba Clarkson Eyecare

  • Optometrist
  • Okemos, MI
  • NPI 1427621945
  NPD
• Vision Without Limits LLC

  • Optometrist
  • Canton, MI
  • NPI 1043920747
  NPD
• Luxottica Retail North America Inc

  dba Lenscrafters #05578

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1386897874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208177",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 HEMMINGWAY DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092465",
            "telephone_number": "734-634-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481041902",
            "country_code": "US",
            "telephone_number": "734-665-5306",
            "fax_number": "734-665-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761588",
            "country_code": "US",
            "telephone_number": "734-429-4885",
            "fax_number": "734-429-2389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22350 Novi Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483754708",
            "country_code": "US",
            "telephone_number": "248-347-7800",
            "fax_number": "248-347-7801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052468",
            "country_code": "US",
            "telephone_number": "734-930-2373",
            "fax_number": "734-930-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 W Chicago Blvd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492861553",
            "country_code": "US",
            "telephone_number": "517-423-2148",
            "fax_number": "517-423-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034504",
            "country_code": "US",
            "telephone_number": "734-994-9119",
            "fax_number": "734-994-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVONE",
        "first_name": "KANWALPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANWALPREET",
            "last_name": "BAGRI",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aritra Paul, MD
• Kathy Ann Paul, COTA/L
• Laura Sullivan Paul, PA
• Annalynn Pauli
• Christopher Michaels Pavone, O.D.
• Casey Pawell
• Deborah Marie Pawell, LLP LPC
• Elizabeth Pawlak
• Michael S. Pawlik, D.O.
• Cristyn Pawluk

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.