Organization Active NPI

Eyewear Detroit Company

  • Optometrist
  • Shelby TWP, MI
National Provider Identifier
1871027409
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004205 Issued in MI
Legal business name
EYEWEAR DETROIT COMPANY
Practice address
48187 Van Dyke Ave
Shelby TWP, MI 48317-3268
Phone
(586) 739-9550
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Dr. Darren Smarch, O.D.NPI 1780711564
Title
Optometrist
Phone
(586) 739-9550

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 4901004205 MI Primary

Addresses

Primary practice location

48187 Van Dyke Ave
Shelby TWP, MI 48317-3268

Mailing address

6466 Shappie Rd
Clarkston, MI 48348-1960
Phone (248) 396-2214

Other names 1

  • Shelby Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170712000830 MI Part B Supplier - Clinic/Group Practice 3577832237 Receives reassigned benefits from 2 practitioners
Practice locations: Shelby TWP, MI

National Provider Directory

National Provider Directory

Locations

48187 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 739-9550

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1871027409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6466 SHAPPIE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481960",
            "telephone_number": "248-396-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48187 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483173268",
            "telephone_number": "586-739-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR DETROIT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "SMARCH",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "586-739-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.