NPIMap

Organization Active NPI

Optical Management Services, LLC

Doing business as Riverfront Eyecare

  • Optometrist
  • Roseville, MI
National Provider Identifier
1447799853
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
E5186F Issued in MI
Legal business name
OPTICAL MANAGEMENT SERVICES, LLC
Doing business as
Riverfront Eyecare
Practice address
31503 Gratiot Ave
Roseville, MI 48066-4583
Phone
(586) 343-0015
Fax
(586) 238-2136
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Mrs. Renee M Herrington
Title
Delegated Official/Credentialing SP
Phone
(989) 790-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X E5186F MI Primary

Addresses

Primary practice location

31503 Gratiot Ave
Roseville, MI 48066-4583

Mailing address

31503 Gratiot Ave
Roseville, MI 48066-4583
Phone (586) 343-0015

Other names 1

  • Riverfront Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optical Management Serv LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1447799853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31503 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664583",
            "telephone_number": "586-343-0015",
            "fax_number": "586-238-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31503 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664583",
            "telephone_number": "586-343-0015",
            "fax_number": "586-238-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL/CREDENTIALING SP",
        "authorized_official_telephone_number": "989-790-5005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "E5186F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverfront Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.