FAMILY EYE CARE PC (NPI# 1235130923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235130923 |
| Entity Type | Organization |
| Organization Name | FAMILY EYE CARE PC |
| Practice Address |
6525 A W Houghton Lake Dr Houghton Lake MI 48629 |
| Mailing Address |
6525 A W Houghton Lake Dr Houghton Lake MI 48629-9789 |
| Practice Telephone | 9894225731 |
| Practice Fax Number | 9894222534 |
| Mailing Telephone | 9894225731 |
| Mailing Fax Number | 9894222534 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | DR. JAY CARL JENKINS (PRESIDENT) |
| Authorized Official Telephone | 9894225731 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003630 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DMERC | 1178430001 | 01 |
| MI | SPECTERA | 13147 | 01 |
| MI | BLUE CARE NETWORK | 900G210200 | 01 |
| EYEMED | MI3630 | 01 | |
| MI | BLUE CROSS BLUE SHIELD | 900G210280 | 01 |
| MI | RAILROAD MEDICARE | 410036674 | 01 |
| MI | BLUE CARE NETWORK | P35872F | 01 |
| MI | SPECTERA | 13146 | 01 |
| MI | NVA | 230603 | 01 |
| MI | PRIORITY HEALTH | 900022079 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 900G210200 | 01 |
| MI | 943380807 | 05 | |
| MI | DMERC | DE5176 | 01 |
| MI | AETNA | 00050136929 | 01 |
| MI | 943380772 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199722 | Family Eye Care PC | Optometrist | 1504 5th Ave S, Denison, IA 51442-2004 | 2006-01-25 |
| 1700806916 | Family Eye Care PC | Optometrist | 5012 Carlisle Pike, Mechanicsburg, PA 17050 | 2006-07-20 |
| Street Address |
6525 A W HOUGHTON LAKE DR |
| City | HOUGHTON LAKE |
| State | MI |
| Zip Code | 48629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827529 | Jessica Nichole Costanza | Behavior Technician | 1840 W Houghton Lake Drive, Unit 2, Prudenville, MI 48629 | 2018-10-16 |
| 1326590134 | Gregory Stuck | Chiropractor | 3231 Towerhill Rd., Houghton Lake, MI 48629 | 2016-10-27 |
| 1871992271 | Rite Aid Pharmacy | Pharmacy | 4652 W Houghton Lake Rd, Houghton Lake, MI 48629 | 2014-08-21 |
| 1386835882 | Hance Family Chiropractic Care Pllc | Chiropractor | 3508 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-08-08 |
| 1598955247 | Michael Gerald Coon | Dental Laboratory Technician | 3232 W Houghton Lake Drive, Houghton Lake, MI 48629 | 2007-07-30 |
| 1114090578 | Thomas Steven Rudzinski | Dentist | 140 River St, Elk Rapids, MI 48629 | 2006-11-15 |
| 1154417749 | Mary Anne Vanoosterhout | Dietitian, Registered | 9249 West Lake City Road, Houghton Lake, MI 48629 | 2006-10-04 |
| 1063507564 | Ann L Rushlow | Physical Therapy Assistant | 9249 West Lake City Rd, Houghton Lake, MI 48629 | 2006-10-03 |
| 1306848783 | Houghton Lake Ambulance Service | Ambulance | 9166 W Lake City Rd., Houghton Lake, MI 48629 | 2005-08-15 |
| 1093027013 | Robert Patrick Mcmorrow II | Emergency Medicine | 9249 W Lake City Rd, Houghton Lake, MI 48629 | 2010-07-07 |
| Find all providers in zip 48629 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841230711 | Jay Carl Jenkins | Optometrist | 6525a W Houghton Lake Dr, Houghton Lake, MI 48629-9789 | 2006-06-07 |
| 1295924587 | Eye Health of Houghton Lake, P.l.l.c. | Optometrist | 2129 W Houghton Lake Dr, Houghton Lake, MI 48629-8236 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | HOUGHTON LAKE |
| Zip Code | 48629 |
Please comment or provide details below to improve the information on FAMILY EYE CARE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.