Active NPI
Superior Eyecare of Michigan LLC/ Patrice L Coates
- Eyewear Supplier
- Oak Park, MI
National Provider Identifier
1003772302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES
- Practice address
- 21841 Kenosha St
Oak Park, MI 48237-2651 - Phone
- (248) 228-7315
- Fax
- (313) 450-0995
- NPI assigned
- Dec 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patrice L Coates
- Title
- Ceo/ Authorized Official
- Phone
- (248) 228-7315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
21841 Kenosha St
Oak Park, MI 48237-2651
Mailing address
21841 Kenosha St
Oak Park, MI 48237-2651
Phone (248) 228-7315
Other names 1
- Superior EyeCare of Michigan LLC
National Provider Directory
National Provider Directory- Tax ID family
- Superior Eyecare of Michigan LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Oak Park, MI
- NPI 1972469443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1003772302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21841 KENOSHA ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372651",
"telephone_number": "248-228-7315",
"fax_number": "313-450-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21841 KENOSHA ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372651",
"telephone_number": "248-228-7315",
"fax_number": "313-450-0995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "COATES",
"authorized_official_first_name": "PATRICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/ AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "248-228-7315",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Superior EyeCare of Michigan LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.