Organization Active NPI

National Eyewear Outlet of Warren

  • Eyewear Supplier
  • Warren, MI
National Provider Identifier
1568508398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
B Issued in MI
Legal business name
NATIONAL EYEWEAR OUTLET OF WARREN
Doing business as
National Discount Eyewear
Practice address
3200 E 12 Mile Rd
Suite 104
Warren, MI 48092-5621
Phone
(586) 558-3059
Fax
(586) 558-3067
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Sherrie Ann Hicks
Title
Vice President-Optician
Phone
(586) 558-3059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X B MI Primary

Addresses

Primary practice location

3200 E 12 Mile Rd
Suite 104
Warren, MI 48092-5621

Mailing address

3200 E 12 Mile Rd
Suite 104
Warren, MI 48092-5621
Phone (586) 558-3059

Other identifiers 6

IdentifierTypeStateIssuer
OP1348OtherMIEYEMED GARY
147096OtherMICOLE MANAGED VISION
MI2556OtherMIEYEMED DR
OP1347OtherMIEYEMED SHERRIE
233194OtherMINVA
CP1749OtherMIEYEMED LOCATION

Other names 1

  • National Discount Eyewear Doing business as

National Provider Directory

National Provider Directory

Locations

3200 E 12 Mile Rd
Ste 104
Warren, MI 48092
Phone (248) 953-6671

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568508398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E 12 MILE RD",
            "address_2": "SUITE 104",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925621",
            "telephone_number": "586-558-3059",
            "fax_number": "586-558-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E 12 MILE RD",
            "address_2": "SUITE 104",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925621",
            "telephone_number": "586-558-3059",
            "fax_number": "586-558-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL EYEWEAR OUTLET OF WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT-OPTICIAN",
        "authorized_official_telephone_number": "586-558-3059",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED GARY",
            "identifier": "OP1348",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "147096",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED DR",
            "identifier": "MI2556",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED SHERRIE",
            "identifier": "OP1347",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "233194",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED LOCATION",
            "identifier": "CP1749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Discount Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.