Juan Alvarado OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JUAN ALVARADO OD PLLC

Doing business as

Fenton Eye Clinic

Practice address

212 W Silver Lake Rd
Fenton, MI 48430-2606

Phone

(810) 629-3070

Fax

(810) 629-6748

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Juan Alvarado, OD

Title

President

Phone

(810) 252-9926

Specialties & licenses 1

Addresses

Other names 1

• FENTON EYE CLINIC Doing business as

Locations

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1609223619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484300765",
            "telephone_number": "810-252-9926",
            "fax_number": "810-629-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302606",
            "telephone_number": "810-629-3070",
            "fax_number": "810-629-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN ALVARADO OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-252-9926",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FENTON EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Ann Johnson, D.O.
• Ashley Nicole Jones
• Grover Jones III
• Joseph M Leppek O.D. PLLC
• Tejal Shah Joseph, M.D.
• Jessie Juhl, MA CCC-SLP
• Jennifer Justice, M.A. CCC-SLP
• Crystal Juliette Kania, LMSW
• Ilyse Logan Kaszynski, MS, OTR/L
• Jeanne L Kaye, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.