Organization Active NPI

Eyecare of Livonia PLLC

  • Optometrist
  • Livonia, MI
National Provider Identifier
1578097259
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003019 Issued in MI
Legal business name
EYECARE OF LIVONIA PLLC
Practice address
13700 Middlebelt Rd
Livonia, MI 48150-2215
Phone
(734) 427-2944
Fax
(734) 853-3798
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. William John Kiefiuk, O.D.
Title
Optometrist
Phone
(249) 249-4793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003019 MI Primary

Addresses

Primary practice location

13700 Middlebelt Rd
Livonia, MI 48150-2215

Mailing address

5016 Wavewood Dr
Commerce Township, MI 48382-1362
Phone (249) 249-4793

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1578097259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 WAVEWOOD DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483821362",
            "telephone_number": "249-249-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502215",
            "telephone_number": "734-427-2944",
            "fax_number": "734-853-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE OF LIVONIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "KIEFIUK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "249-249-4793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.