Frederick F Faes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FF002662 Issued in MI

Practice address

5865 Whitmore Lake Rd
Brighton, MI 48116-1945

Phone

(810) 227-5640

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary Eye and Vision Care, LLC

  • Optometrist
  • Howell, MI
  • NPI 1902194970
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598893067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161945",
            "telephone_number": "810-227-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161945",
            "telephone_number": "810-227-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAES",
        "first_name": "FREDERICK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "FF002662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900D76504",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UOF M HMO",
            "identifier": "VCM0013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keirsten Essenmacher
• Susan N Evans, LMSW
• Every Marriage LLC
• Abbey Kristine Ewalt, L.P.C.
• Jeffrey Ewing, D.C.
• Debra R Fairchild, LMSW
• Gary A Falkenberg, DO
• Margaret Elizabeth Fallow, MS, LLP
• Aurielle Marie Fanning, MD
• Ayad A. Farjo, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.