Sopha Opticians, PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

166899 Issued in MI

Legal business name

SOPHA OPTICIANS, PLLC

Practice address

64207 Van Dyke Rd
Washington, MI 48095-2579

Phone

(586) 336-4566

Fax

(586) 336-4702

NPI assigned

Jan 12, 2009

Last updated

Apr 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Sopha, A.B.O.C.NPI 1518144641

Title

Owner/Optician

Phone

(586) 336-4566

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, and the practitioner matching its NPPES authorized official.

• Shirley Sopha, A.B.O.C.

  • Optician
  • Washington TWP, MI
  • NPI 1518144641
  NPD (past) Authorized official

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1417194580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64207 VAN DYKE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952579",
            "telephone_number": "586-336-4566",
            "fax_number": "586-336-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64207 VAN DYKE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952579",
            "telephone_number": "586-336-4566",
            "fax_number": "586-336-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHA OPTICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "SOPHA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "586-336-4566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.B.O.C."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "166899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Selinski, PA-C, AT, ATC
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• Adrienne Spitzer, LPC
• Morgan St Henry, LAT, ATC
• Brigitte K Stern, MD
• Alan Stiebel, D.P.M.
• Mary Ann Stockwell, RN,LMSW

• Eyewear Supplier in Washington, MI
• Providers in Washington, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.