Organization Active NPI

John Gaffka PLLC

  • Optometrist
  • White Lake, MI
National Provider Identifier
1720222516
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004424 Issued in MI
Legal business name
JOHN GAFFKA PLLC
Practice address
9190 Highland Rd
White Lake, MI 48386-2032
Phone
(248) 698-9782
NPI assigned
Apr 24, 2009
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. John Gaffka, O.D.NPI 1982801239
Title
Optometrist
Phone
(734) 968-6471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004424 MI Primary

Addresses

Primary practice location

9190 Highland Rd
White Lake, MI 48386-2032

Mailing address

60608 Russell LN
South Lyon, MI 48178-9459
Phone (734) 968-6471

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1720222516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60608 RUSSELL LN",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789459",
            "telephone_number": "734-968-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 HIGHLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862032",
            "telephone_number": "248-698-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GAFFKA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "GAFFKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "734-968-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.