Active NPI
Yocheved Kresch
- Optometrist
- Oak Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005359
- Practice address
- 25211 Coolidge Hwy
Oak Park, MI 48237-3165 - Phone
- (248) 545-2800
- Fax
- (248) 581-4074
- NPI assigned
- May 11, 2015
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005359 | MI | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 4901005359 | MI | |
| Pediatric Optometrist | 152WP0200X | 4901005359 | MI |
Addresses
Primary practice location
25211 Coolidge Hwy
Oak Park, MI 48237-3165
Mailing address
25211 Coolidge Hwy
Oak Park, MI 48237-3165
Phone (248) 545-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005359 | MI | MD | Pediatric Optometrist |
| 008273 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Ophthalmology | Current | Accepting new patients |
| Harvey Rosenblum, MD,PC | Optometrist | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Ophthalmology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Wise Eyes LLC | Optometrist | Current | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
25211 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 544-0560
26400 W 12 Mile Rd
Ste 60
Southfield, MI 48034
Phone (248) 594-6702
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
220 Madison Ave
New York, NY 10016
Phone (212) 683-7330
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
635 W 165th St
New York, NY 10032
Phone (212) 305-3039
880 3rd Ave
New York, NY 10022
Phone (212) 342-3746
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Ophthalmology
-
dba Rosenblum Eye Centers
- Ophthalmology Physician
- New York, NY
- NPI 1457404733
Optometrist
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Ophthalmology
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1396123469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25211 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482373165",
"telephone_number": "248-545-2800",
"fax_number": "248-581-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25211 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482373165",
"telephone_number": "248-545-2800",
"fax_number": "248-581-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESCH",
"first_name": "YOCHEVED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005359",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4901005359",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MI",
"license": "4901005359",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.