NPIMap

Organization Active NPI

Medical Arts Eye Care PC

Doing business as Donahue Eyecare

  • Optometrist
  • Monroe, MI
National Provider Identifier
1427219625
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CB002739 Issued in MI
Legal business name
MEDICAL ARTS EYE CARE PC
Doing business as
Donahue Eyecare
Practice address
750 Stewart Rd
Suite 2
Monroe, MI 48162-4279
Phone
(734) 242-8630
Fax
(734) 242-8666
NPI assigned
Jun 19, 2008
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mrs. Christine L Donahue
Title
Manager
Phone
(734) 242-8630

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4901002739 MI
Eyewear Supplier 332H00000X 490102739 MI
Prosthetic/Orthotic Supplier 335E00000X 4901002739 MI
Optometrist 152W00000X KC003966 MI
Optometrist 152W00000X CB002739 MI Primary

Addresses

Primary practice location

750 Stewart Rd
Suite 2
Monroe, MI 48162-4279

Mailing address

750 Stewart Rd
Suite 2
Monroe, MI 48162-4291
Phone (734) 242-8630

Other identifiers 3

IdentifierTypeStateIssuer
1427219625MedicaidMI
DR6060OtherMIRETIRED RAILROAD MEDICARE
900E80015OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

Other names 1

  • DONAHUE EYECARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1427219625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 STEWART RD",
            "address_2": "SUITE 2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624291",
            "telephone_number": "734-242-8630",
            "fax_number": "734-242-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STEWART RD",
            "address_2": "SUITE 2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624279",
            "telephone_number": "734-242-8630",
            "fax_number": "734-242-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-242-8630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4901002739",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "490102739",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "4901002739",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "KC003966",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "CB002739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427219625",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "DR6060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "900E80015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DONAHUE EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

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