Eyewear Detroit Company
Optometrist in Shelby Twp, MI. Organization (NPI-2).
NPI number1871027409
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1871027409
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyewear Detroit Company
- Organization subpart
- No
- Enumeration date
- Apr 20, 2017
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004205 | MI | Yes |
Other names
- Shelby Eyecare (Doing Business As)
Practice location
48187 Van Dyke AveShelby Twp, MI 48317-3268
Phone 586-739-9550
Mailing address
6466 Shappie RdClarkston, MI 48348-1960
Phone 248-396-2214
Authorized official
Darren Smarch
Optometrist
5867399550
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Shelby Twp, MI
- Kyle John Campion, O.D.NPI 1447667340
- Adrianna L. Leppek, O.D.NPI 1679793848
- Chad M Maloney, O.D.NPI 1285863027
- Kurt Matthew Schulz, ODNPI 1154360311
All 5 Optometrist providers in Shelby Twp · All 493 providers in Shelby Twp
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