Patient Centered Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004752 Issued in MI

Legal business name

PATIENT CENTERED EYE CARE LLC

Practice address

2014 Holland Ave
Ste 366
Port Huron, MI 48060-1406

Phone

(502) 759-1123

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Elam, OD

Title

Member

Phone

(502) 759-1123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1386074839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 HOLLAND AVE",
            "address_2": "STE 366",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601406",
            "telephone_number": "502-759-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 HOLLAND AVE",
            "address_2": "STE 366",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601406",
            "telephone_number": "502-759-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-759-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Patchel, LPC
• Laura Jane Patchel, OTL
• Anil R Patel, MD
• Hasmukh G Patel, M.D.
• Krupa Patel, D.M.D.
• Marc R Patyi, SOCIAL WORKER
• Michael K Paul, M.D.
• Siobhan Paulun, LMSW, CTS
• Karrie J Pawson, LPC
• Payam S Sadry DO PLLC

• Optometrist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.