Midland Eye & Associates, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004555 Issued in MI

Legal business name

MIDLAND EYE & ASSOCIATES, INC

Practice address

217 N Saginaw Rd
Midland, MI 48640-3350

Phone

(989) 631-2653

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Paul A. Kimball, O.D.NPI 1053540724

Title

Optometrist

Phone

(989) 631-2653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Paul Allen Kimball, O.D.

  • Optometrist
  • Midland, MI
  • NPI 1053540724
  Medicare reassignment Care Compare group NPD Authorized official
• Carl J Erickson, OD

  • Optometrist
  • Traverse City, MI
  • NPI 1093027518
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1770869083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-631-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND EYE & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "989-631-2653",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midland Chiropractic
• Midland County Council on Aging
• Midland County Educational Service Agency
• Midland County Juvenile Care Center
• Midland Express Urgent and Family Care PLC
• Midland Eye Associates, PLC
• Midland Eye Care, PLC
• Midland Family Footcare PLLC
• Midland Family Medical Equipment
• Midland Family Physicians PC

• Optometrist in Midland, MI
• Providers in Midland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.