NPIMap

Organization Active NPI

Cukrowski Eye Center, PC

Doing business as East Michigan Eye Center

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1558458455
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CUKROWSKI EYE CENTER, PC
Doing business as
East Michigan Eye Center
Practice address
701 S Ballenger Hwy
Flint, MI 48532-3804
Phone
(810) 238-3603
Fax
(810) 767-5194
NPI assigned
Oct 10, 2006
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Emma Goett
Title
Administrator
Phone
(810) 238-3603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X MI
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

701 S Ballenger Hwy
Flint, MI 48532-3804

Mailing address

701 S Ballenger Hwy
Flint, MI 48532-3804
Phone (810) 238-3603

Other identifiers 1

IdentifierTypeStateIssuer
180B513770OtherMIBLUE CROSS NUMBER

Other names 1

  • East Michigan Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051227000642 MI Part B Supplier - Clinic/Group Practice 3779505268 Receives reassigned benefits from 6 practitioners
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

Locations

701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1558458455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUKROWSKI EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "GOETT",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-238-3603"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "180B513770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Michigan Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Michigan Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 2026; 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.