Organization Active NPI

Owosso Eye Care

  • Optometrist
  • Owosso, MI
National Provider Identifier
1316338007
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004859 Issued in MI
Legal business name
OWOSSO EYE CARE
Practice address
122 N Washington St
Owosso, MI 48867-2827
Phone
(989) 723-8174
Fax
(989) 725-3123
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Dr. Tom Hall II, OD
Title
Owner
Phone
(989) 424-0442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901004859 MI Primary

Addresses

Primary practice location

122 N Washington St
Owosso, MI 48867-2827

Mailing address

122 N Washington St
Owosso, MI 48867-2827
Phone (989) 723-8174

National Provider Directory

National Provider Directory

Locations

122 N Washington St
Owosso, MI 48867
Phone (989) 720-2020

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1316338007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672827",
            "telephone_number": "989-723-8174",
            "fax_number": "989-725-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672827",
            "telephone_number": "989-723-8174",
            "fax_number": "989-725-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOSSO EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-424-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.