DR. KYLE ROBERT FAIRLESS (NPI# 1912062654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912062654 |
| Entity Type | Individual |
| Full Name | DR. KYLE ROBERT FAIRLESS |
| Credential | O.D. |
| Practice Address |
14600 Lakeside Cir Lakeside Mall Sterling Heights MI 48313-1356 |
| Practice Telephone | 5862471000 |
| Mailing Telephone | 5862471000 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003708 | MI | Eye and Vision Services Providers |
| Street Address |
14600 LAKESIDE CIR LAKESIDE MALL |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48313-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396888046 | Lawrence Stoll | Optometrist | 14600 Lakeside Cir, Unit 2016, Sterling Heights, MI 48313-1356 | 2007-02-14 |
| 1215077284 | Carolyn Klunzinger | Optometrist | 14600 Lakeside Cir, Sterling Heights, MI 48313-1356 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
| 1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
| 1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
| 1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
| 1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
| 1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
| 1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
| 1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
| Find all providers in zip 48313 | ||||
| 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 |
|---|---|---|---|---|
| 1780218883 | P-cor, LLC | Optometrist | 44987 Schoenherr Rd Ste 150, Sterling Heights, MI 48313-1141 | 2020-02-27 |
| 1457818320 | Jacqueline Rosenberg | Optometrist | 3602 15 Mile Rd, Sterling Heights, MI 48310-5355 | 2019-02-26 |
| 1316241268 | Normandy Optical West, Pllc | Optometrist | 36838 Ryan Rd, Sterling Heights, MI 48310-4455 | 2011-01-07 |
| 1730491986 | Scott Franklin Schwartz | Optometrist | 13400 15 Mile Rd, Sterling Heights, MI 48312-4213 | 2010-07-04 |
| 1538363494 | Dawn Michelle Wolf | Optometrist | 12813 Beresford Dr, Sterling Heights, MI 48313-4113 | 2007-06-13 |
| 1861534927 | Macomb Vision Clinic, Inc. | Optometrist | 11445 15 Mile Rd, Sterling Heights, MI 48312-3809 | 2007-02-13 |
| 1215083308 | Paul F Perse | Optometrist | 37120 Dequindre, Sterling Heights, MI 48310 | 2007-01-25 |
| 1861571101 | Un-yong T Jang | Optometrist | 44561 Schoenherr Rd, Sterling Heights, MI 48313-1133 | 2006-11-06 |
| 1922181387 | Trinity Services, LLC | Optometrist | 5160 W Tothill Cir, Sterling Heights, MI 48310-2067 | 2006-10-21 |
| 1053336198 | Daniel Flick | Optometrist | 43910 Schoenherr Rd, Sterling Heights, MI 48313-1120 | 2006-07-12 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48313 |
Please comment or provide details below to improve the information on DR. KYLE ROBERT FAIRLESS.
| 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.