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Contact Information

CYNTHIA M KACZMAREK
2942 E HIGHLAND RD
HIGHLAND, MI48356-2810
 Phone: 248-887-4175
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CYNTHIA M KACZMAREK

NPI Number 1164562393
LBN Legal business name CYNTHIA M KACZMAREK
Authorized official CYNTHIA KACZMAREK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 11/19/2013 - About 13 years ago
Identifiers
MI License # 4901002311
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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