Organization Active NPI

Flushing Optical Inc

  • Optometrist
  • Flushing, MI
National Provider Identifier
1679636088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FLUSHING OPTICAL INC
Practice address
105 S. Cherry Street
Flushing, MI 48433
Phone
(810) 659-9181
Fax
(810) 659-6811
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Henry Ostrander
Title
President Owner
Phone
(810) 659-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

105 S. Cherry Street
Flushing, MI 48433

Mailing address

105 S. Cherry Street
Flushing, MI 48433
Phone (810) 659-9181

Other identifiers 1

IdentifierTypeStateIssuer
5038910001OtherMIDMERC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679636088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S. CHERRY STREET",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-659-9181",
            "fax_number": "810-659-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S. CHERRY STREET",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-659-9181",
            "fax_number": "810-659-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "810-659-9181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5038910001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.