Fourmile Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004194 Issued in MI

Legal business name

FOURMILE EYE CARE, LLC

Practice address

35000 Warren Rd
Sears Optical
Westland, MI 48185-6223

Phone

(734) 425-1190

NPI assigned

Mar 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Neil Deledda

Title

President

Phone

(734) 485-4306

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063544799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 E AVONDALE CIR",
            "city": "SUPERIOR TOWNSHIP",
            "state": "MI",
            "postal_code": "481982600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 WARREN RD",
            "address_2": "SEARS OPTICAL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856223",
            "telephone_number": "734-425-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURMILE EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELEDDA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-485-4306",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Danielle Fobare, L.L.M.S.W
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• Kristen Forster, MSW
• Fortney Eyecare Associates Inc
• Katlyn Foster, LLMSW
• Barbara Fowkes
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• Kenneth Alan Fox, D.D.S.
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• Christina Franco, BA

• Optometrist in Westland, MI
• Providers in Westland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.