Eye Definition PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004254 Issued in MI

Legal business name

EYE DEFINITION PLLC

Practice address

405 N. Canton Center
Canton, MI 48187

Phone

(734) 891-8626

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jay Paul Lizyness, O.D.NPI 1629093562

Title

Optometrist

Phone

(734) 891-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Jay Paul Lizyness, OD

  • Optometrist
  • Madison Heights, MI
  • NPI 1629093562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1528485703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 RIVER MEADOW CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882333",
            "telephone_number": "734-891-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N. CANTON CENTER",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "734-891-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DEFINITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "LIZYNESS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "734-891-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4636283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Paige Etter, LLMSW
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• Dana Lynn Eyler, PA-C
• Ez-Way Home Health LLC
• Marie Michelle Ezenwokemodo
• Fernanda Facchinetti
• Elana Fackler

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.

Verify at the official NPI Registry.