MR. MARK ANDREW STEFANI (NPI# 1639292865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639292865 |
| Entity Type | Individual |
| Full Name | MR. MARK ANDREW STEFANI |
| Credential | OD |
| Practice Address |
32925 Groesbeck Highway Fraser MI 48026 |
| Practice Telephone | 5862938888 |
| Practice Fax Number | 5862960726 |
| Mailing Telephone | 5862938888 |
| Mailing Fax Number | 5862960726 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003690 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EYEMED | 110955 | 01 | |
| MI | 3404800 | 05 | |
| BCBS | 900E06513 | 01 |
| Street Address |
32925 GROESBECK HIGHWAY |
| City | FRASER |
| State | MI |
| Zip Code | 48026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447326244 | Fraser Optical Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 32925 Groesbeck Highway, Fraser, MI 48026 | 2006-11-27 |
| 1780707919 | James C Miller IIi | Optometrist | 32925 Groesbeck Highway, Fraser, MI 48026 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1215406624 | Fraser Rx Pharmacy LLC | Pharmacy | 16861 E 14 Mile Rd., Fraser, MI 48026 | 2018-11-14 |
| 1457507519 | Michael Richard Abood | Dentist | 16128 15 Mile, Suite 4, Fraser, MI 48026 | 2008-08-08 |
| 1316095342 | Martha Sue Vaneenenaam-iwanicki | Specialist/Technologist | Fraser High School, 34270 Garfield, Fraser, MI 48026 | 2007-01-08 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1699849885 | Luis Collazo | Family Medicine | 31022 Utica Rd., Fraser, MI 48026 | 2006-11-20 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1104920446 | Select Dental PC | Dentist | 16128 15 Mile Road, Suite 4, Fraser, MI 48026 | 2006-09-08 |
| 1285627513 | Care of Southeastern Michigan | Case Management | 31900 Utica Rd., Fraser, MI 48026 | 2005-08-23 |
| Find all providers in zip 48026 | ||||
| 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 |
|---|---|---|---|---|
| 1144211525 | Fracer Optical Clinic Inc. | Optometrist | 32925 Groesbeck Hwy, Fraser, MI 48026-3155 | 2005-11-03 |
| 1851386981 | Jason G Tuchowski | Optometrist | 33080 Utica Rd, Fraser, MI 48026-2038 | 2005-09-14 |
| 1215388749 | Jaye Alexandra Liberman | Optometrist | 32925 Groesbeck Hwy, Fraser, MI 48026-3155 | 2016-06-27 |
| 1598151318 | Michigan Eye Care Provider Pllc | Optometrist | 33080 Utica Rd, Fraser, MI 48026-2038 | 2015-04-08 |
| 1275889446 | Kate Marie Vanderhoof | Optometrist | 33080 Utica Rd, Fraser, MI 48026-2038 | 2012-07-25 |
| 1780707919 | James C Miller IIi | Optometrist | 32925 Groesbeck Highway, Fraser, MI 48026 | 2007-04-10 |
| 1225163165 | Eye Care Providers of Michigan PC | Optometrist | 33080 Utica Rd, Fraser, MI 48026-2038 | 2007-02-22 |
| 1982759197 | Edmund Timothy Elges | Optometrist | 32925 Groesbeck Hwy, Fraser, MI 48026-3155 | 2007-01-25 |
| 1952485666 | Norbert P Czajkowski, Md, PC | Optometrist | 33080 Utica Rd, Fraser, MI 48026-2038 | 2006-10-25 |
| 1790770816 | Arlie Vanderhoof | Optometrist | 33080 Utica Rd, Fraser, MI 48026-2038 | 2005-09-14 |
| Find all providers in FRASER | ||||
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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.