Kenneth Ward, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005684 Issued in MI

Practice address

33080 Utica Rd Ste B
Fraser, MI 48026-2038

Phone

(586) 296-7250

Fax

(586) 296-7256

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Eye Care Provider PLLCGroup PAC ID 1254611809, 21 clinicians

P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kward@optimeyes.emadirect.md

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.

• Michigan Eye Care Provider PLLC

  • Ophthalmology Physician
  • Fraser, MI
  • NPI 1598151318

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment Care Compare group NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD
• Eye Care Providers of Michigan PC

  • Ophthalmology Physician
  • Port Huron, MI
  • NPI 1134254071
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1467134841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD STE B",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD STE B",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Pine Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603733",
            "country_code": "US",
            "telephone_number": "810-982-3200",
            "fax_number": "810-982-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480672201",
            "country_code": "US",
            "telephone_number": "248-541-4200",
            "fax_number": "248-541-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11441 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932639",
            "country_code": "US",
            "telephone_number": "586-756-5060",
            "fax_number": "586-756-9783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 South Blvd E Ste 180",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076115",
            "country_code": "US",
            "telephone_number": "248-293-5161",
            "fax_number": "248-564-2954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Haggerty Rd",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483903950",
            "country_code": "US",
            "telephone_number": "248-716-4450",
            "fax_number": "248-716-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467134841",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kward@frasereye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Health Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33080 Utica Rd Ste B",
            "city": "Fraser",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480262038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maru Ocrospoma Veda, COTAL
• Vietnam Veterans of Michigan Inc.
• Catherine Vretta, MD
• Walgreen Co
• Walgreen Co
• Shannon C Weiland, LMT
• Douglas Wheaton, MD
• Daniel Wilkerson, MD
• Deniese L Worthy, M.D.
• Arthur Joseph Young III, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
• 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.