Optometric Institute and Clinic of Detroit, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRIC INSTITUTE AND CLINIC OF DETROIT, INC

Practice address

3044 W Grand Blvd
Suite L-350
Detroit, MI 48202-3037

Phone

(313) 872-2060

Fax

(313) 872-1020

NPI assigned

Nov 20, 2006

Last updated

Oct 28, 2009By 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

Thomas Armstead

Title

Executive Director

Phone

(313) 872-2060

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Erik Steven Hanson, O.D.

  • Optometrist
  • Kalamazoo, MI
  • NPI 1639308687
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1568536837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 W GRAND BLVD",
            "address_2": "SUITE L-350",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023037",
            "telephone_number": "313-872-2060",
            "fax_number": "313-872-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 W GRAND BLVD",
            "address_2": "SUITE L-350",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023037",
            "telephone_number": "313-872-2060",
            "fax_number": "313-872-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC INSTITUTE AND CLINIC OF DETROIT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "ARMSTEAD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-872-2060"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023750",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "900H267920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barima Kwaku Opong-Owusu Jr., PHARMD, BCPS
• Kailey Oppat
• Glenn Robert Oppenlander II, MD
• Optimal Care Dialysis
• Optimal Life Home Healthcare
• Ardalan Oraee, MD
• Eloy Enrique Ordaya Espinoza, M.D.
• Adesuwa Shaeyl Orianwo
• Origins Therapy PLLC
• Orlan Express LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.