NPIMap

Organization Active NPI

Eye Care Specialists of Michigan

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1568646040
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003962 Issued in MI
Legal business name
EYE CARE SPECIALISTS OF MICHIGAN
Practice address
2489 Trautner Dr
Saginaw, MI 48604-9596
Phone
(989) 791-2020
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. Usha Kurumety Bulusu, MDNPI 1043202948
Title
Owner
Phone
(989) 791-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4901003962 MI Primary

Addresses

Primary practice location

2489 Trautner Dr
Saginaw, MI 48604-9596

Mailing address

2489 Trautner Dr
Saginaw, MI 48604-9596
Phone (989) 791-2020

National Provider Directory

National Provider Directory

Locations

2489 Trautner Dr
Saginaw, MI 48604
Phone (989) 791-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1568646040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 TRAUTNER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049596",
            "telephone_number": "989-791-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 TRAUTNER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049596",
            "telephone_number": "989-791-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "BULUSU",
        "authorized_official_first_name": "USHA",
        "authorized_official_middle_name": "KURUMETY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-791-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.