NPIMap

Organization Active NPI

Wce, LLC

Doing business as CoOp Optical

  • Optometrist
  • Detroit, MI
National Provider Identifier
1376613653
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WCE, LLC
Doing business as
CoOp Optical
Practice address
660 Woodward
Suite 1525
Detroit, MI 48226
Phone
(313) 366-5100
Fax
(313) 366-2246
NPI assigned
Nov 8, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mr. Robert Evangelista
Title
Owner
Phone
(313) 366-5100

Specialties & licenses 1

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

Addresses

Primary practice location

660 Woodward
Suite 1525
Detroit, MI 48226

Mailing address

660 Woodward
Suite 1525
Detroit, MI 48226
Phone (313) 366-5100

Other identifiers 1

IdentifierTypeStateIssuer
1376613653OtherMINPI BILLING NUMBER

Other names 1

  • CoOp Optical Doing business as

National Provider Directory

National Provider Directory

Locations

2424 E 8 Mile Rd
Detroit, MI 48234
Phone (313) 366-5100

660 Woodward Ave
Ste 1525
Detroit, MI 48226
Phone (313) 366-5100

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1376613653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WOODWARD",
            "address_2": "SUITE 1525",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226",
            "telephone_number": "313-366-5100",
            "fax_number": "313-366-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WOODWARD",
            "address_2": "SUITE 1525",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226",
            "telephone_number": "313-366-5100",
            "fax_number": "313-366-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-366-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BILLING NUMBER",
            "identifier": "1376613653",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoOp Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.