Medical Eye Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4901004432 Issued in MI

Legal business name

MEDICAL EYE CLINIC, PLLC

Practice address

1621 E M 21
Owosso, MI 48867-9053

Phone

(989) 729-1519

Fax

(989) 728-7823

NPI assigned

Aug 4, 2009

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary H. Stolicker, O.D.NPI 1811195357

Title

Owner/Optometrist

Phone

(989) 729-1519

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Stolicker, O.D.

  • Optometrist
  • Lansing, MI
  • NPI 1811195357
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1225269590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E M 21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679053",
            "telephone_number": "989-729-1519",
            "fax_number": "989-728-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E M 21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679053",
            "telephone_number": "989-729-1519",
            "fax_number": "989-728-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "STOLICKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "989-729-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4901004432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin McNamara
• Rylie McNamara
• Natalia McPherson, CHW
• Mark S Medel, DDS ORAL AND MAXILLO
• Medequip Home Care
• Crystal Medina
• Maria Medina, LMSW
• Amna Mehdi, DO
• Caryn Melotti, LMSW
• Memorial Billing Company

• Primary Care Clinic/Center in Owosso, MI
• Providers in Owosso, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.

Verify at the official NPI Registry.