Active NPI
Eyes on Midtown, PC
- Optometrist
- Detroit, MI
National Provider Identifier
1689077471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004672
- Legal business name
- EYES ON MIDTOWN, PC
- Practice address
- 71 Garfield St
Detroit, MI 48201-1905 - Phone
- (313) 316-0120
- NPI assigned
- Oct 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany R Humes, O.D.
- Title
- Owner
- Phone
- (313) 316-0120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004672 | MI | Primary |
| Optometrist | 152W00000X | 4901003785 | MI |
Addresses
Primary practice location
71 Garfield St
Detroit, MI 48201-1905
Mailing address
71 Garfield St
Detroit, MI 48201-1905
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412640000000",
"number": "1689077471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 GARFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 GARFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011905",
"telephone_number": "313-316-0120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYES ON MIDTOWN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A",
"authorized_official_last_name": "HUMES",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-316-0120",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901004672",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901003785",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.