Organization Active NPI

Pinconning Family Eye Care PC

  • Optometrist
  • Pinconning, MI
National Provider Identifier
1073631040
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
RL003052 Issued in MI
Legal business name
PINCONNING FAMILY EYE CARE PC
Practice address
1948 N Huron Rd
Pinconning, MI 48650-7909
Phone
(989) 879-3937
Fax
(989) 879-3981
NPI assigned
Mar 27, 2007
Last updated
Sep 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Raymond Allen Lalonde, ODNPI 1326091521
Title
Optometrist
Phone
(989) 879-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X RL003052 MI Primary

Addresses

Primary practice location

1948 N Huron Rd
Pinconning, MI 48650-7909

Mailing address

1948 N Huron Rd
P.O. Box 325
Pinconning, MI 48650-7909
Phone (989) 879-3937

Other identifiers 1

IdentifierTypeStateIssuer
944704688MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1073631040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 N HURON RD",
            "address_2": "P.O. BOX 325",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486507909",
            "telephone_number": "989-879-3937",
            "fax_number": "989-879-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 N HURON RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486507909",
            "telephone_number": "989-879-3937",
            "fax_number": "989-879-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCONNING FAMILY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "LALONDE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "989-879-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "RL003052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944704688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinconning, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.