Organization Active NPI

Lapeer County Eye Associates Inc

  • Optometrist
  • Lapeer, MI
National Provider Identifier
1235311200
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003782 Issued in MI
Legal business name
LAPEER COUNTY EYE ASSOCIATES INC
Practice address
333 W Nepessing St
Lapeer, MI 48446-2105
Phone
(810) 664-3937
NPI assigned
Dec 3, 2007
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Jackie Gibbons
Title
Director of Finance
Phone
(810) 664-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003782 MI Primary

Addresses

Primary practice location

333 W Nepessing St
Lapeer, MI 48446-2105

Mailing address

333 W Nepessing St
Lapeer, MI 48446-2105
Phone (810) 664-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000317 MI Part B Supplier - Clinic/Group Practice 6103807169 Receives reassigned benefits from 7 practitioners
Practice locations: Bad Axe, MI; Caro, MI; Imlay City, MI; Lapeer, MI; Vassar, MI

National Provider Directory

National Provider Directory

Locations

119 N Hanselman St
Bad Axe, MI 48413
Phone (989) 269-3937

870 N Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-3937

1544 W Caro Rd
Caro, MI 48723
Phone (989) 673-3332

1544 W Caro Rd
Opticare Vision Ctr
Caro, MI 48723
Phone (989) 673-3332

810 S State St
Caro, MI 48723
Phone (989) 673-3332

17255 Silver Pkwy
Fenton, MI 48430
Phone (810) 750-3937

2048 S Van Dyke Rd Ste 5
Imlay City, MI 48444
Phone (810) 724-3937

2048 S Vandyke Rd Ste 5
Lapeer County Vision Ctr
Imlay City, MI 48444
Phone (810) 724-3937

700 S Main St
Ste 105
Lapeer, MI 48446
Phone (810) 664-1329

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1235311200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462105",
            "telephone_number": "810-664-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462105",
            "telephone_number": "810-664-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER COUNTY EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "810-664-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.