Active NPI
Lacee Jo Cripe
- Optician
- Fenton, MI
National Provider Identifier
1174331532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 5612 Bullard Rd
Fenton, MI 48430-9408 - Phone
- (574) 276-5677
- NPI assigned
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | |||
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
5612 Bullard Rd
Fenton, MI 48430-9408
Mailing address
5612 Bullard Rd
Fenton, MI 48430-9408
Other names 1
- Mrs. Lacee Cripe
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cripe Holdings LLC | Optician | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1174331532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5612 BULLARD RD",
"city": "FENTON",
"state": "MI",
"postal_code": "484309408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5612 BULLARD RD",
"city": "FENTON",
"state": "MI",
"postal_code": "484309408",
"telephone_number": "574-276-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIPE",
"first_name": "LACEE JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACEE",
"last_name": "CRIPE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.