Organization Active NPI

Czinder Eye Care PC

  • Optometrist
  • Big Rapids, MI
National Provider Identifier
1437445053
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002299 Issued in MI
Legal business name
CZINDER EYE CARE PC
Practice address
303 Elm St
Big Rapids, MI 49307-1813
Phone
(231) 796-6604
Fax
(231) 796-0688
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Joseph Czinder, OD
Title
Owner
Phone
(231) 796-6604

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4901002299 MI Primary
Durable Medical Equipment & Medical Supplies 332B00000X 4901002299 MI
Eyewear Supplier 332H00000X 4901002299 MI

Addresses

Primary practice location

303 Elm St
Big Rapids, MI 49307-1813

Mailing address

303 Elm St
Big Rapids, MI 49307-1813
Phone (231) 796-6604

Other names 1

  • JD Czinder OD PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930005384 MI DME Supplier - Physician - Optometrist 3173641669 Practice locations: Big Rapids, MI
O20110803000161 MI Part B Supplier - Clinic/Group Practice 3173641669 Receives reassigned benefits from 1 practitioner
Practice locations: Big Rapids, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Czinder Eye Care PC303 Elm St, Big Rapids, MI 49307-1813(231) 796-6604 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1985

National Provider Directory

National Provider Directory

Locations

303 Elm St
Big Rapids, MI 49307
Phone (231) 796-6604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1437445053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ELM ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071813",
            "telephone_number": "231-796-6604",
            "fax_number": "231-796-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ELM ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071813",
            "telephone_number": "231-796-6604",
            "fax_number": "231-796-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CZINDER EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CZINDER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-796-6604",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002299",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4901002299",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JD Czinder OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.