Modern Eyecare, P.C.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4901004068 Issued in MI

Legal business name

MODERN EYECARE, P.C.

Practice address

2025 25 Mile Rd
Shelby Township, MI 48316-0941

Phone

(248) 651-3937

Fax

(248) 651-5006

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Merryfield, O.D.NPI 1578614079

Title

Optometrist/Owner

Phone

(248) 651-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kimberly Merryfield, O.D.

  • Optometrist
  • Shelby Township, MI
  • NPI 1578614079
  NPD (past) Authorized official

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1679807176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 25 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483160941",
            "telephone_number": "248-651-3937",
            "fax_number": "248-651-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 25 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483160941",
            "telephone_number": "248-651-3937",
            "fax_number": "248-651-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "MERRYFIELD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "248-651-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR INDIVIDUAL",
            "identifier": "1578614079",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Corneal and Contact Management Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.