Active NPI
William John Kiefiuk, OD
- Optometrist
- Taylor, MI
National Provider Identifier
1821144916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003019
- Practice address
- 22320 Goddard Rd
SVS
Taylor, MI 48180 - Phone
- (734) 287-3311
- Fax
- (734) 759-3092
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003019 | MI | Primary |
Addresses
Primary practice location
22320 Goddard Rd
SVS
Taylor, MI 48180
Mailing address
5016 Wavewood Dr
Commerce Township, MI 48382-1362
Phone (248) 249-4793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1821144916",
"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": "248-249-4793",
"fax_number": "734-853-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22320 GODDARD RD",
"address_2": "SVS",
"city": "TAYLOR",
"state": "MI",
"postal_code": "48180",
"telephone_number": "734-287-3311",
"fax_number": "734-759-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFIUK",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.