Michigan Eyecare Institute, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004206 Issued in MI

Legal business name

MICHIGAN EYECARE INSTITUTE, P.C.

Practice address

29877 Telegraph Rd
Suite #100
Southfield, MI 48034-1332

Phone

(248) 352-2806

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kendra Sue Stanton, B.S.

Title

Administrator

Phone

(248) 352-2806

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Michigan Eye Care Institute2 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.

• Michigan Eyecare Institute, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
  • NPI 1205986585
  NPD tax ID

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1679754816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE #100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "248-352-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE #100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "248-352-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN EYECARE INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-352-2806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS VISION",
            "identifier": "OF319240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Dental Sleep Apnea Institute
• Michigan Diagnostic Pathologists, PLLC
• Michigan Diagnostic Pathology Specialists PLLC
• Michigan Diagnostic, LLC
• Michigan Eyecare Institute, P.C.
• Michigan Eyecare Institute, P.C.
• Michigan Family Dental Care, PLLC (Amazing Oral Surgery909)
• Michigan Family Dentistry, PLLC (Amazing Smiles)
• Michigan Fertility Services PLLC
• Michigan First Chiropractor LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.