Organization Active NPI

Lapeer Eye Clinic PC

  • Ophthalmology Physician
  • Lapeer, MI
National Provider Identifier
1699987735
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LAPEER EYE CLINIC PC
Practice address
1005 S Lapeer Rd
Lapeer, MI 48446-3038
Phone
(810) 664-9945
Fax
(810) 664-9955
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Gary M Sole, M.D.
Title
Owner
Phone
(810) 664-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1005 S Lapeer Rd
Lapeer, MI 48446-3038

Mailing address

1005 S Lapeer Rd
Lapeer, MI 48446-3038
Phone (810) 664-9945

Other identifiers 2

IdentifierTypeStateIssuer
1062213MedicaidMI
CI9183OtherMIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1005 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 664-5458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1699987735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463038",
            "telephone_number": "810-664-9945",
            "fax_number": "810-664-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463038",
            "telephone_number": "810-664-9945",
            "fax_number": "810-664-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SOLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-664-9945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI9183",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.