NPIMap

Organization Active NPI

Pcor - LLC

Doing business as Henry Ford Optimeyes

  • Optometrist
  • Madison HTS, MI
National Provider Identifier
1447426705
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PCOR - LLC
Doing business as
Henry Ford Optimeyes
Practice address
29351 John R Rd
Madison HTS, MI 48071-5405
Phone
(248) 544-3290
Fax
(248) 307-9518
NPI assigned
May 6, 2008
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mrs. Gail Elias
Title
Director of Finance
Phone
(248) 577-3624

Specialties & licenses 1

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

Addresses

Primary practice location

29351 John R Rd
Madison HTS, MI 48071-5405

Mailing address

655 W 13 Mile Rd
Madison HTS, MI 48071-1850
Phone (248) 577-3616

Other names 1

  • Henry Ford Optimeyes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pcor-LLC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

29351 John R Rd
Madison Hts, MI 48071
Phone (248) 544-3290

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1447426705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711850",
            "telephone_number": "248-577-3616",
            "fax_number": "248-307-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29351 JOHN R RD",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480715405",
            "telephone_number": "248-544-3290",
            "fax_number": "248-307-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCOR - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "248-577-3624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Optimeyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.