MEDICARE: DR. CHRISTIE KAJI OD

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	4901005526	MI

General Provider Information

NPI Number	:	1558933176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTIE KAJI OD

Provider Business Mailing Address
First Line	:	7074 HIGHLAND RD
Second Line	:	SUITE A
City	:	WATERFORD TOWNSHIP
State	:	MI
Zip	:	48327
Country	:	US
Telephone Number	:	248-698-2000
Fax Number	:	248-698-2655

Provider Business Practice Location Address
First Line	:	7074 HIGHLAND RD STE A
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1514
Country	:	US
Telephone Number	:	248-698-2000
Fax Number	:	248-698-2655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	09/25/2025

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