Organization Active NPI

Uniquely Special Optical LLC

  • Eyewear Supplier
  • Detroit, MI
National Provider Identifier
1629886270
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
UNIQUELY SPECIAL OPTICAL LLC
Practice address
15370 Grand River Ave
Detroit, MI 48227-2215
Phone
(248) 818-6702
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Mrs. Monique BrownNPI 1154199933
Title
Manager
Phone
(248) 818-6702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

15370 Grand River Ave
Detroit, MI 48227-2215

Mailing address

24554 Grove Ave
Eastpointe, MI 48021-1031
Phone (248) 818-6702

Other names 1

  • Uniquely Special Opticial LLC. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Uniquely Special Optical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15370 Grand River Ave
Detroit, MI 48227
Phone (248) 818-6702

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1629886270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24554 GROVE AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211031",
            "telephone_number": "248-818-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15370 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272215",
            "telephone_number": "248-818-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY SPECIAL OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-818-6702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uniquely Special Opticial LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Uniquely Special Opticial LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.