NPIMap

Organization Active NPI

Envision Eye Care PLLC

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1982845384
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004198 Issued in MI
Legal business name
ENVISION EYE CARE PLLC
Practice address
5310 Hampton Place
Suite 2
Saginaw, MI 48604-8202
Phone
(989) 799-2020
Fax
(989) 799-8700
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Kylie L Kaczmarczyk, O.D.
Title
Optometrist
Phone
(989) 799-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901004198 MI Primary

Addresses

Primary practice location

5310 Hampton Place
Suite 2
Saginaw, MI 48604-8202

Mailing address

5310 Hampton Place
Suite 2
Saginaw, MI 48604-8202
Phone (989) 799-2020

National Provider Directory

National Provider Directory
Tax ID family
Envision Eye Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1982845384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HAMPTON PLACE",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048202",
            "telephone_number": "989-799-2020",
            "fax_number": "989-799-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HAMPTON PLACE",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048202",
            "telephone_number": "989-799-2020",
            "fax_number": "989-799-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "KACZMARCZYK",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "989-799-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.