Heritage Optical Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HERITAGE OPTICAL CENTER, INC.

Practice address

19010 Livernois Ave
Detroit, MI 48221-2259

Phone

(313) 863-9581

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. George P Barnes Jr.

Title

Owner/Ceo

Phone

(313) 863-9585

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Heritage Optical Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Optical Center

  • Optometrist
  • Detroit, MI
  • NPI 1689905929
  NPD tax ID
• Heritage Optical Center Inc

  • Optometrist
  • Detroit, MI
  • NPI 1285728964
  NPD tax ID
• Heritage Optical Inc.

  • Optometrist
  • Detroit, MI
  • NPI 1053642397
  NPD tax ID

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1063687705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19010 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212259",
            "telephone_number": "313-863-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19010 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212259",
            "telephone_number": "313-863-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OPTICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "313-863-9585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831091",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4971556",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Here to Help Home Health Care Services LLC
• Patrick Herek
• Heritage Manor Nursing & Rehab Center
• Heritage Optical Center
• Heritage Optical Center Inc
• Heritage Optical Inc.
• Herman J Glass II
• Daniel Edward Herman
• Eric J Herman, MA LLP
• Jared Herman, DO

• All providers in Detroit, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.