Organization Active NPI

Wise Eyes LLC

Doing business as Michigan Contact Lens

  • Optometrist
  • Oak Park, MI
National Provider Identifier
1770383580
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WISE EYES LLC
Doing business as
Michigan Contact Lens
Practice address
25211 Coolidge Hwy
Oak Park, MI 48237-3165
Phone
(248) 545-2800
Fax
(248) 581-4074
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Yocheved Kresch, ODNPI 1396123469
Title
Owner
Phone
(248) 872-8125

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

25211 Coolidge Hwy
Oak Park, MI 48237-3165

Mailing address

25211 Coolidge Hwy
Oak Park, MI 48237-3165
Phone (248) 545-2800

Other names 1

  • Michigan Contact Lens Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425001011 MI Part B Supplier - Clinic/Group Practice 7618493339 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, MI

National Provider Directory

National Provider Directory

Locations

25211 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 544-0560

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": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1770383580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25211 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373165",
            "telephone_number": "248-545-2800",
            "fax_number": "248-581-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25211 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373165",
            "telephone_number": "248-545-2800",
            "fax_number": "248-581-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "YOCHEVED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-872-8125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Contact Lens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.