Organization Active NPI

Frenchtown Optical PLC

  • Optometrist
  • Newport, MI
National Provider Identifier
1477753754
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003268 Issued in MI
Legal business name
FRENCHTOWN OPTICAL PLC
Practice address
7505 Grafton Rd
Suite 3
Newport, MI 48166-8908
Phone
(734) 586-2000
Fax
(734) 586-2008
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Glenn Mark Young, O.D.
Title
Sole MBR
Phone
(734) 242-4123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003268 MI Primary

Addresses

Primary practice location

7505 Grafton Rd
Suite 3
Newport, MI 48166-8908

Mailing address

7505 Grafton Rd
Suite 3
Newport, MI 48166-8908
Phone (734) 586-2000

National Provider Directory

National Provider Directory

Locations

7505 Grafton Rd
Ste 3
Newport, MI 48166
Phone (734) 586-2000

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1477753754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GRAFTON RD",
            "address_2": "SUITE 3",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481668908",
            "telephone_number": "734-586-2000",
            "fax_number": "734-586-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAFTON RD",
            "address_2": "SUITE 3",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481668908",
            "telephone_number": "734-586-2000",
            "fax_number": "734-586-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRENCHTOWN OPTICAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "734-242-4123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.