CUKROWSKI EYE CENTER, PC (NPI# 1548691744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548691744 |
Entity Type | Organization |
Organization Name | CUKROWSKI EYE CENTER, PC |
Other Organization Name | EAST MICHIGAN EYE CENTER, PC |
Practice Address |
701 S Ballenger Hwy Flint MI 48532-3804 |
Practice Telephone | 8102383603 |
Practice Fax Number | 8107675194 |
Mailing Telephone | 8102383603 |
Mailing Fax Number | 8107675194 |
Enumeration Date | 2013-12-13 |
Last Update Date | 2014-02-05 |
Authorized Official Name | DR. CHRISTOPHER CUKROWSKI (PRESIDENT) |
Authorized Official Telephone | 8102383603 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 114861877 | 05 |
Other Name | Type Code |
---|---|
East Michigan Eye Center, PC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558458455 | Cukrowski Eye Center, PC | Technician/Technologist | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2006-10-10 |
Street Address |
701 S BALLENGER HWY |
City | FLINT |
State | MI |
Zip Code | 48532-3804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912991845 | Christopher Frances Cukrowski | Specialist | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2005-09-07 |
1235542119 | Nina Glauch | Optometrist | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2014-06-09 |
1558458455 | Cukrowski Eye Center, PC | Technician/Technologist | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2006-10-10 |
1518052380 | Cukrowski Surgery Center PC | Clinic/Center | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2006-10-04 |
1689668519 | Jerome Fitzgerald Kasle | Specialist | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2005-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
Find all providers in zip 48532 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134246119 | Flint Optical LLC | Eyewear Supplier (Equipment, not the service) | 518 S Saginaw St, Flint, MI 48502-1804 | 2007-03-23 |
1972638765 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 3192 S Linden Rd Ste A108, Flint, MI 48507-3014 | 2007-02-22 |
1376683771 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3503 S Linden Rd, Genesee Valley Mall Ste #780, Flint, MI 48507-3018 | 2007-02-07 |
1760990642 | Mary H Espy Od PC | Eyewear Supplier (Equipment, not the service) | G3541 Miller Rd, Flint, MI 48507-1235 | 2018-01-13 |
1245405695 | Flint Optical Company | Eyewear Supplier (Equipment, not the service) | 518 S Saginaw St, Flint, MI 48502-1804 | 2008-04-28 |
1023162609 | Lenscrafters Inc | Eyewear Supplier (Equipment, not the service) | 3377 S Linden Rd, Genesee Valley Mall, Flint, MI 48507-3007 | 2007-01-22 |
1609932367 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3191 S Linden Rd, Flint, MI 48507-3003 | 2006-12-28 |
1740345081 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 2284 S Ballenger Hwy, Ballenger Pointe, Flint, MI 48503-3446 | 2006-12-27 |
1285799346 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3405 S Linden Rd, Genesee Valley Mall, Flint, MI 48507-3009 | 2006-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
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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.