MEDICARE: MYEYEDR OPTOMETRY OF MICHIGAN, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1427901602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYEYEDR OPTOMETRY OF MICHIGAN, LLC

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	4114 W MAPLE RD
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301-3000
Country	:	US
Telephone Number	:	248-539-4800
Fax Number	:	248-539-4894

Authorized Official
Title or Position	:	SECRETARY
Name	:	SUE ANN DOWNES
Credential	:
Telephone Number	:	785-492-5871

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

Similar Medicare Providers

1669718391 — AMERICAN HEALTH INC
Practice Location Address:

LOTE 18 METRO OFFICE PARK , 3RD FLOOR SUITE 3000 AMERICAN HEALTH MEDICARE BUILDING
GUAYNABO, PR
00968

Practice Phone: 787-620-1919
Practice Fax: 787-620-0570

1447332515 — DR. HARRIET CAROLYN PELTON O.D.
Practice Location Address:

4114 W MAPLE RD
BLOOMFIELD HILLS, MI
48301-3000

Practice Phone: 248-539-4800
Practice Fax: 248-539-4894

1871943449 — JAMIE L KUZNIAR O.D.
Practice Location Address:

4114 W MAPLE RD
BLOOMFIELD, MI
48301-3000

Practice Phone: 248-539-4800
Practice Fax: 248-539-4894

1750372678 — DR. MARY K ALANI MD
Practice Location Address:

6405 TELEGRAPH RD , BLDG F STE 2
BLOOMFIELD TOWNSHIP, MI
48301

Practice Phone: 248-646-3323
Practice Fax: 248-646-3355

1649376922 — SUPAK SOOKKASIKON M.D.
Practice Location Address:

4050 W MAPLE RD , SUITE 101
BLOOMFIELD TOWNSHIP, MI
48301-3148

Practice Phone: 248-885-8211
Practice Fax: 248-885-8357

1205976537 — JEAN GASH NURSE PRACTITIONER
Practice Location Address:

4669 RAVINE DR
BLOOMFIELD TOWNSHIP, MI
48301

Practice Phone: 248-594-7442
Practice Fax:

Directions to “MYEYEDR OPTOMETRY OF MICHIGAN, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.