CUKROWSKI EYE CENTER, PC (NPI# 1558458455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558458455 |
| Entity Type | Organization |
| Organization Name | CUKROWSKI EYE CENTER, PC |
| Other Organization Name | EAST MICHIGAN EYE CENTER |
| 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 | 2006-10-10 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | DR. CHRISTOPHER F CUKROWSKI (PRESIDENT) |
| Authorized Official Telephone | 8102383603 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
========= | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS NUMBER | 180B513770 | 01 |
| Other Name | Type Code |
|---|---|
| East Michigan Eye Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548691744 | Cukrowski Eye Center, PC | Eyewear Supplier (Equipment, not the service) | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2013-12-13 |
| 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 |
| 1548691744 | Cukrowski Eye Center, PC | Eyewear Supplier (Equipment, not the service) | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2013-12-13 |
| 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 | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659326031 | Associated Retinal Consultants, PC | Technician/Technologist | 3535 W. 13 Mile Rd, 632, Royal Oak, MI 48073-6710 | 2006-05-23 |
| 1457914335 | El Valle Optical, Inc. | Technician/Technologist | 1940 Campbell St, Detroit, MI 48209-2125 | 2019-04-17 |
| 1104385780 | Laura Elizabeth Frisbie | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-03-13 |
| 1447727847 | Sarah Syeda | Technician/Technologist | 4717 Saint Antoine St, Detroit, MI 48201-1423 | 2018-10-24 |
| 1528121803 | Darryl T Goldberg Md PC | Technician/Technologist | 27901 Woodward Ave, Suite 200, Berkley, MI 48072 | 2006-12-18 |
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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.