Active NPI
Complete Eye Care, P.C.
- Ophthalmology Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301050891
- Legal business name
- COMPLETE EYE CARE, P.C.
- Practice address
- 5055 W Bristol Rd
Flint, MI 48507-2922 - Phone
- (810) 732-2272
- Fax
- (810) 732-8470
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John A Waters, MD
- Title
- President
- Phone
- (810) 732-2272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301050891 | MI | Primary |
Addresses
Primary practice location
5055 W Bristol Rd
Flint, MI 48507-2922
Mailing address
5055 W Bristol Rd
Flint, MI 48507-2922
Phone (810) 732-2272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180250173 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080623000576 | MI | Part B Supplier - Clinic/Group Practice | 5597836205 |
Receives reassigned benefits from 1 practitioner Practice locations: Flint, MI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Complete Eye Care PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Flint, MI
- NPI 1396707519
Locations
5055 W Bristol Rd
Flint, MI 48507
Phone (810) 732-2272
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Flint, MI
- NPI 1396706925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1437110608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485072922",
"telephone_number": "810-732-2272",
"fax_number": "810-732-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485072922",
"telephone_number": "810-732-2272",
"fax_number": "810-732-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE EYE CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-732-2272",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301050891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "180250173",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.