Fruitport Family Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003947 Issued in MI

Legal business name

FRUITPORT FAMILY EYE CARE, PLLC

Practice address

388 N 3Rd Ave
Ste I
Fruitport, MI 49415-9785

Phone

(231) 865-9990

Fax

(231) 865-9991

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Lynn Osborne, O.D.NPI 1760465264

Title

Single Owner

Phone

(231) 865-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Deborah Lynn Osborne, OD

  • Optometrist
  • Fruitport, MI
  • NPI 1760465264
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1326318734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 N 3RD AVE",
            "address_2": "STE I",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159785",
            "telephone_number": "231-865-9990",
            "fax_number": "231-865-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 N 3RD AVE",
            "address_2": "STE I",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159785",
            "telephone_number": "231-865-9990",
            "fax_number": "231-865-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITPORT FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SINGLE OWNER",
        "authorized_official_telephone_number": "231-865-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Dills, DO
• Donna L Rick DDS PC
• David Leon Dora, D.O.
• Susan Kay Ercia
• Amanda Marie Faino
• Caitlin E Fulton, D.O.
• Erika Glatz
• Jody Lynn Gregg, LMT
• Grover Pharmacy Inc. (Grover Pharmacy)
• Hackley Community Care Center Inc (Edgewood Elementary)

• Optometrist in Fruitport, MI
• Providers in Fruitport, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.