Provider Demographics
NPI:1437445053
Name:CZINDER EYE CARE PC
Entity Type:Organization
Organization Name:CZINDER EYE CARE PC
Other - Org Name:JD CZINDER OD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CZINDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:231-796-6604
Mailing Address - Street 1:303 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1813
Mailing Address - Country:US
Mailing Address - Phone:231-796-6604
Mailing Address - Fax:231-796-0688
Practice Address - Street 1:303 ELM ST
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1813
Practice Address - Country:US
Practice Address - Phone:231-796-6604
Practice Address - Fax:231-796-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002299152W00000X, 332B00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIT33250Medicare UPIN
MI0395430001Medicare NSC
MIMI4740Medicare PIN