Black & White Look Optical Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BLACK & WHITE LOOK OPTICAL CORP

Practice address

15675 W 10 Mile Rd
Southfield, MI 48075-2188

Phone

(248) 557-6444

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Patrice CoatesNPI 1962840124

Title

Biller

Phone

(248) 219-9782

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrice Coates

  • Prosthetic/Orthotic Supplier
  • Oak Park, MI
  • NPI 1962840124
  NPD Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1366895005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15675 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752188",
            "telephone_number": "248-557-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15675 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752188",
            "telephone_number": "248-557-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK & WHITE LOOK OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "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."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bishop
• Sidney Bishop
• Louis Bitoff Jr., DPM
• Cameron James Bixby, DO
• Mahmoud Bjeijeh, COTA
• Black and White Look Optical Corporation
• Black Male Therapist LLC
• Sabrina Diana Black, LLPC
• Brittany Denise Blackburn, REGISTERED NURSE
• Edward L Blackburn

• Ophthalmology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.