Ken N Feinauer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002690 Issued in MI

Practice address

1180 N Monroe St
Monroe, MI 48162-3190

Phone

(734) 243-5300

Fax

(734) 243-9956

NPI assigned

May 17, 2006

Last updated

Sep 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment NPD
• SVS Vision Inc

  dba SVS Vision 94

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1558246942
  NPD
• Millman-Derr Center for Eye Care, P.C.

  dba Barclay Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rochester Hills, MI
  • NPI 1255342366
  NPD (past)
• Millman-Derr Center for Eye Care, P.C.

  • Ophthalmology Physician
  • Rochester Hills, MI
  • NPI 1326238395
  NPD (past)
• Reed Vision Associates, P.C.

  • Optometrist
  • Monroe, MI
  • NPI 1811914898
  NPD (past)
• SVS Vision Inc

  • Optometrist
  • Warren, MI
  • NPI 1508130592
  NPD (past)
• Wce, LLC

  dba CoOp Optical

  • Optometrist
  • Detroit, MI
  • NPI 1376613653
  NPD (past)
• Wce, LLC

  dba Coop Optical

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
  • NPI 1952455727
  NPD (past)
• Reed Vision Associates, P.C.

  • Optometrist
  • Toledo, OH
  • NPI 1245499490
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1548212673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623190",
            "telephone_number": "734-243-5300",
            "fax_number": "734-243-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623190",
            "telephone_number": "734-243-5300",
            "fax_number": "734-243-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINAUER",
        "first_name": "KEN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4453 T1109",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "180E810890",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4835269",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9310791",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2612104",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00288208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Works Home Care LLC
• Noka Fanola
• Patti Lynn Farrand, PSYCHOLOGIST
• Alina Fatima
• Christine Elizabeth Feick, LP
• Gary Mark Felhandler, D.P.M.
• Gretchen M Feller, M.D.
• Heather Rose Ferguson, FNP
• Cliff R. Ferreira
• Netarsha Ficklen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.

Verify at the official NPI Registry.