NPIMap

Organization Active NPI

Direct Optical of West Bloomfield LLC

  • Optometrist
  • West Bloomfield, MI
National Provider Identifier
1619616174
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DIRECT OPTICAL OF WEST BLOOMFIELD LLC
Practice address
6315 Haggerty Rd
West Bloomfield, MI 48322-5031
Phone
(248) 231-3017
Fax
(734) 981-1574
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Ms. Mariana Mihajlovski
Title
Owner
Phone
(737) 981-1760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6315 Haggerty Rd
West Bloomfield, MI 48322-5031

Mailing address

6315 Haggerty Rd
West Bloomfield, MI 48322-5031
Phone (248) 231-3017

Other names 1

  • Direct Optical Optique Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diana@optiquedetroit.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6315 Haggerty Rd
West Bloomfield, MI 48322
Phone (248) 231-3017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1619616174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 HAGGERTY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225031",
            "telephone_number": "248-231-3017",
            "fax_number": "734-981-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 HAGGERTY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225031",
            "telephone_number": "248-231-3017",
            "fax_number": "734-981-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT OPTICAL OF WEST BLOOMFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MIHAJLOVSKI",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-981-1760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana@optiquedetroit.com",
            "affiliation": "N",
            "endpointDescription": "office Manager",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office Manager",
            "address_1": "6315 Haggerty Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483225031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Direct Optical Optique",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.