Organization Active NPI

Family Optometry Associates, P.C.

  • Eyewear Supplier
  • Southfield, MI
National Provider Identifier
1417070392
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4901002652 Issued in MI
Legal business name
FAMILY OPTOMETRY ASSOCIATES, P.C.
Practice address
26771 W 12 Mile Rd
Suite 100
Southfield, MI 48034-1539
Phone
(248) 263-4900
Fax
(248) 263-4903
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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

Authorized official

Name
Dr. William Jerry Lindahl, O.D.
Title
President
Phone
(248) 263-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4901002652 MI Primary

Addresses

Primary practice location

26771 W 12 Mile Rd
Suite 100
Southfield, MI 48034-1539

Mailing address

26771 W 12 Mile Rd
Suite 100
Southfield, MI 48034-1539
Phone (248) 263-4900

Other names 1

  • Family Optometry PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341619200000",
    "number": "1417070392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-263-4900",
            "fax_number": "248-263-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-263-4900",
            "fax_number": "248-263-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTOMETRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2012-07-07",
        "status": "A",
        "authorized_official_last_name": "LINDAHL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-263-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Optometry PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; 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.