The Village Optician

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THE VILLAGE OPTICIAN

Practice address

725 South Adams Road
Suite 125
Birmingham, MI 48009

Phone

(248) 642-2225

Fax

(248) 220-4261

NPI assigned

Apr 2, 2007

Last updated

Jan 28, 2015By 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

Ms. Barbara Leigh Parent

Title

Optician/Owner

Phone

(248) 642-2225

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Leslie Karen Capell, OD

  • Optometrist
  • Birmingham, MI
  • NPI 1285823153
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1497876213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SOUTH ADAMS ROAD",
            "address_2": "SUITE 125",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-642-2225",
            "fax_number": "248-220-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SOUTH ADAMS ROAD",
            "address_2": "SUITE 125",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-642-2225",
            "fax_number": "248-220-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OPTICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "248-642-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "900F365720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.