Active NPI
Delbert Wayne Foust
- Optometrist
- Adrian, MI
National Provider Identifier
1154477230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002905
- Practice address
- 1416 S Main
Suite 380
Adrian, MI 49221-4302 - Phone
- (517) 265-8086
- Fax
- (517) 263-5253
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002905 | MI | Primary |
Addresses
Primary practice location
1416 S Main
Suite 380
Adrian, MI 49221-4302
Mailing address
140 Macomb
Mt Clemens, MI 48043
Phone (586) 468-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154477230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MACOMB",
"city": "MT CLEMENS",
"state": "MI",
"postal_code": "48043",
"telephone_number": "586-468-7370",
"fax_number": "586-464-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 S MAIN",
"address_2": "SUITE 380",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492214302",
"telephone_number": "517-265-8086",
"fax_number": "517-263-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUST",
"first_name": "DELBERT",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.