NPIMap

Organization Active NPI

DP Optical P C

  • Optometrist
  • Plymouth, MI
National Provider Identifier
1316107378
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003181 Issued in MI
Legal business name
DP OPTICAL P C
Doing business as
Picard Family Optical
Practice address
670 S Main St
Plymouth, MI 48170-1711
Phone
(734) 446-6889
Fax
(734) 259-0804
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Dennis M Picard, O.D.
Title
Optometrist
Phone
(734) 560-7606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003181 MI Primary

Addresses

Primary practice location

670 S Main St
Plymouth, MI 48170-1711

Mailing address

51063 Richard Dr
Plymouth, MI 48170-1190
Phone (734) 446-6889

Other names 1

  • Picard Family Optical Doing business as

National Provider Directory

National Provider Directory

Locations

670 S Main St
Plymouth, MI 48170
Phone (734) 446-6889

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1316107378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51063 RICHARD DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701190",
            "telephone_number": "734-446-6889",
            "fax_number": "734-259-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701711",
            "telephone_number": "734-446-6889",
            "fax_number": "734-259-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DP OPTICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "734-560-7606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Picard Family Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2011; 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.