Organization Active NPI

Eyes Right Opticalii, Inc.

  • Optometrist
  • Oak Park, MI
National Provider Identifier
1114916848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002664 Issued in MI
Legal business name
EYES RIGHT OPTICALII, INC.
Practice address
26102 Greenfield Rd
Oak Park, MI 48237-1050
Phone
(248) 968-4224
Fax
(248) 968-5127
NPI assigned
Oct 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Arthue Lavine, OD
Title
Optomitist
Phone
(248) 968-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002664 MI Primary

Addresses

Primary practice location

26102 Greenfield Rd
Oak Park, MI 48237-1050

Mailing address

26102 Greenfield Rd
Oak Park, MI 48237-1050
Phone (248) 968-4224

National Provider Directory

National Provider Directory

Locations

26102 Greenfield Rd
Oak Park, MI 48237
Phone (248) 968-4224

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114916848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26102 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371050",
            "telephone_number": "248-968-4224",
            "fax_number": "248-968-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26102 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371050",
            "telephone_number": "248-968-4224",
            "fax_number": "248-968-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES RIGHT OPTICALII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ARTHUE",
        "authorized_official_title_or_position": "OPTOMITIST",
        "authorized_official_telephone_number": "248-968-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.