Frye'S New Look Optical

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FRYE'S NEW LOOK OPTICAL

Practice address

12897 Woodward Ave
Highland Park, MI 48203-3315

Phone

(248) 499-4516

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Patrice Coates, CMCB

Title

Biller

Phone

(248) 219-9782

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Frye'S New Look Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Frye'S New Look Optical

  • Vision Therapy Optometrist
  • Highland Park, MI
  • NPI 1427585801
  NPD tax ID

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1346761558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12897 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12897 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033315",
            "telephone_number": "248-499-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYE'S NEW LOOK OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-219-9782",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMCB"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427585801",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Step Transitional Housing
• Johnella Fitzpatrick
• Mackenzie Flynn, PA-C
• Andrea Anita Foster
• Monica Frazier
• Frye'S New Look Optical
• Jessica Fullenkamp
• Walid Gammouh
• Stacy Gaudy
• Erica George, MA

• Optometrist in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.