Healthcare Provider Details

I. General information

NPI: 1114915196
Provider Name (Legal Business Name): EYECARE ASSOCIATES OF HASLETT AND PERRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 N MAIN
PERRY MI
48872-5103
US

IV. Provider business mailing address

PO BOX 116
PERRY MI
48872-0116
US

V. Phone/Fax

Practice location:
  • Phone: 517-697-0845
  • Fax:
Mailing address:
  • Phone: 517-675-0845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State

VIII. Authorized Official

Name: ROBBIE J PAIROLERO
Title or Position: OWNER
Credential: OD
Phone: 810-720-9111