Myeyedr Optometry of Michigan, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF MICHIGAN, LLC

Practice address

7470 Secor Rd
Lambertville, MI 48144-9607

Phone

(734) 856-7070

Fax

(734) 856-2092

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Myeyedr Optometry Mi LLC48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Plainwell, MI
  • NPI 1013592534
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Wyandotte, MI
  • NPI 1023685146
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Macomb, MI
  • NPI 1023740131
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Kalamazoo, MI
  • NPI 1033794540
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Norton Shores, MI
  • NPI 1033794557
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Niles, MI
  • NPI 1053996579
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Jackson, MI
  • NPI 1124607254
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Jenison, MI
  • NPI 1134887441
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Wyoming, MI
  • NPI 1144805680
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Van Buren TWP, MI
  • NPI 1225619760
  NPD tax ID
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Canton, MI
  • NPI 1235710773
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Brooks, O.D.

  • Optometrist
  • Dundee, MI
  • NPI 1679923015
  NPD
• Todd William Lee, O.D.

  • Optometrist
  • Lambertville, MI
  • NPI 1679669485
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1124750237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-547-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449607",
            "telephone_number": "734-856-7070",
            "fax_number": "734-856-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Ann Mills, LPN
• Kristen Leigh Minard, FNP-C
• Bradley D Morin, MS PT
• Gloria Faith Morrison, MA LPC
• Richard Mui, PHARMD
• Mark Stephen Neumann, D.O.
• New Life Chiropractic PLLC
• Cherith Nottingham, LLPC
• Nunya Business Systems Inc
• Lucas O'Neil, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.