NPIMap

Organization Active NPI

Eye Center of Lenawee P.C.

Doing business as Brooklyn Eye Center

  • Optometrist
  • Adrian, MI
National Provider Identifier
1306906540
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CENTER OF LENAWEE P.C.
Doing business as
Brooklyn Eye Center
Practice address
1400 W Maumee St
Adrian, MI 49221-1804
Phone
(517) 265-5444
Fax
(517) 264-5182
NPI assigned
Dec 11, 2006
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Rick Allen Snow, O.D.NPI 1972553386
Title
President - Owner
Phone
(517) 265-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1400 W Maumee St
Adrian, MI 49221-1804

Mailing address

PO Box 336
Adrian, MI 49221-0336
Phone (517) 265-5444

Other names 1

  • Brooklyn Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051019000167 MI Part B Supplier - Clinic/Group Practice 6800812868 Receives reassigned benefits from 2 practitioners
Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

1400 W Maumee St
Adrian, MI 49221
Phone (517) 263-9498

168 S Main St
Brooklyn, MI 49230

168 S Main St
Ste A
Brooklyn, MI 49230
Phone (517) 592-6452

Practitioners & affiliated clinicians

Practitioners 4

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1306906540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492210336",
            "telephone_number": "517-265-5444",
            "fax_number": "517-264-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211804",
            "telephone_number": "517-265-5444",
            "fax_number": "517-264-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF LENAWEE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "517-265-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.