Active NPI
Mark a Topolewski OD and Associates PC
- Optometrist
- Kimball, MI
National Provider Identifier
1992911283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002539
- Legal business name
- MARK A TOPOLEWSKI OD AND ASSOCIATES PC
- Practice address
- 4868 Lapeer Rd
Kimball, MI 48074-1517 - Phone
- (810) 982-3937
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark A Topolewski, OD
- Title
- Optometrist
- Phone
- (810) 982-3937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002539 | MI | Primary |
Addresses
Primary practice location
4868 Lapeer Rd
Kimball, MI 48074-1517
Mailing address
4868 Lapeer Rd
Kimball, MI 48074-1517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051115000237 | MI | Part B Supplier - Clinic/Group Practice | 9234158791 |
Receives reassigned benefits from 2 practitioners Practice locations: Kimball, MI |
National Provider Directory
National Provider DirectoryLocations
4868 Lapeer Rd
Kimball, MI 48074
Phone (313) 982-3937
Practitioners & affiliated clinicians
Practitioners 2
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": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1992911283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4868 LAPEER RD",
"city": "KIMBALL",
"state": "MI",
"postal_code": "480741517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4868 LAPEER RD",
"city": "KIMBALL",
"state": "MI",
"postal_code": "480741517",
"telephone_number": "810-982-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A TOPOLEWSKI OD AND ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "TOPOLEWSKI",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "810-982-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901002539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kimball, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.