Organization Active NPI

Ferman Optometry PC

  • Exclusive Provider Organization
  • Plymouth, MI
National Provider Identifier
1265699516
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
4901003867 Issued in MI
Legal business name
FERMAN OPTOMETRY PC
Practice address
217 N Sheldon Rd
Plymouth, MI 48170
Phone
(734) 453-4870
Fax
(734) 453-2849
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Andrew Ealovega, OD
Title
Doctor of Optomerty
Phone
(734) 453-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 4901003867 MI Primary

Addresses

Primary practice location

217 N Sheldon Rd
Plymouth, MI 48170

Mailing address

217 N Sheldon Rd
Plymouth, MI 48170-1524
Phone (734) 453-4870

National Provider Directory

National Provider Directory

Locations

217 N Sheldon Rd
Plymouth, MI 48170
Phone (734) 453-4870

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1265699516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "734-453-4870",
            "fax_number": "734-453-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-453-4870",
            "fax_number": "734-453-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERMAN OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "EALOVEGA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMERTY",
        "authorized_official_telephone_number": "734-453-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "4901003867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.