Premier Family Eye Care PC.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PREMIER FAMILY EYE CARE PC.

Practice address

6748 Kalamzoo Ave S.E
Grand Rapids, MI 49508-7032

Phone

(616) 633-0574

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Joseph Crank, O.DNPI 1083612162

Title

Owner

Phone

(616) 633-0574

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Jay J Crank, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1083612162
  Medicare reassignment Care Compare group Authorized official
• Carlie Crank

  • Optometrist
  • Grand Rapids, MI
  • NPI 1568152239
  Medicare reassignment Care Compare group NPD
• Matthew James Huberty, OD

  • Optometrist
  • Marshall, MI
  • NPI 1912619339
  NPD

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1851759716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6748 KALAMZOO AVE S.E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087032",
            "telephone_number": "616-633-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6748 KALAMZOO AVE S.E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087032",
            "telephone_number": "616-633-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY EYE CARE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "CRANK",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-633-0574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3192010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Wei Xian Pregler
• Randa Preihs, NP
• Alison Preisel-Austhof, LPC
• Katarina Ann Preisler, PA-C
• Premier Care Pros, LLC.
• Premier Hospital Medicine Specialists PC
• Premier Mobile Imaging, LLC
• Elizabeth Renee Prentice, D.O.
• Jeannette Ellen Prentice, M.D.
• Carol Kahn Presant, LMSW

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.