Eyeglasses Online Direct

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEGLASSES ONLINE DIRECT

Practice address

41975 Brookview LN
Clinton Township, MI 48038-5227

Phone

(586) 915-7465

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

Andrea Marie Nicholas, CERTIFIED OPTICIAN

Title

Managing Director

Phone

(586) 915-7465

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1699320028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41975 BROOKVIEW LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385227",
            "telephone_number": "586-915-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41975 BROOKVIEW LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385227",
            "telephone_number": "586-915-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASSES ONLINE DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "586-915-7465",
        "authorized_official_credential": "CERTIFIED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vesna Evkoska, DO
• Evolve Chiropractic
• Exacta Dental Products, Inc.
• Express Visiting Physicians Inc.
• Expressions Wellness Center
• Daniel Amaobi Ezeike
• Face and Skin LLC
• Fagelman Eyewear LTD
• Jerry S Fagelman, MD
• Teresa Fails-Farr

• Eyewear Supplier in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.