Active NPI
Family Eye Care of Sandusky, PC
- Optometrist
- Sandusky, MI
National Provider Identifier
1164778114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FAMILY EYE CARE OF SANDUSKY, PC
- Practice address
- 454 W Sanilac Rd
Sandusky, MI 48471-1065 - Phone
- (810) 648-2020
- NPI assigned
- Jul 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline Scarbrough, OD
- Title
- Optomerist
- Phone
- (810) 359-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
454 W Sanilac Rd
Sandusky, MI 48471-1065
Mailing address
454 W Sanilac Rd
PO Box 28
Sandusky, MI 48471-1065
Phone (810) 648-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lexington, MI
- NPI 1285668863
-
- Optometrist
- Sandusky, MI
- NPI 1932756806
-
- Optometrist
- Sandusky, MI
- NPI 1255524005
-
- Optometrist
- Bad Axe, MI
- NPI 1902699333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1164778114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 W SANILAC RD",
"address_2": "PO BOX 28",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711065",
"telephone_number": "810-648-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 W SANILAC RD",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711065",
"telephone_number": "810-648-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY EYE CARE OF SANDUSKY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-27",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "SCARBROUGH",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OPTOMERIST",
"authorized_official_telephone_number": "810-359-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.