Organization Active NPI

Eye Care Optometry Inc.

  • Optometrist
  • Lincoln Park, MI
National Provider Identifier
1700099447
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE OPTOMETRY INC.
Practice address
1755 Dix Hwy
Lincoln Park, MI 48146-1412
Phone
(313) 382-9650
Fax
(313) 382-0723
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Mrs. Lisa Hayes
Title
Billing Dept
Phone
(313) 382-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1755 Dix Hwy
Lincoln Park, MI 48146-1412

Mailing address

1755 Dix Hwy
Lincoln Park, MI 48146-1412
Phone (313) 382-9650

Other identifiers 1

IdentifierTypeStateIssuer
0762220001OtherMIDMERC

National Provider Directory

National Provider Directory

Locations

5825 W Fort St
Detroit, MI 48209
Phone (313) 841-0350

1755 Dix Hwy
Lincoln Park, MI 48146
Phone (313) 382-9650

Practitioners & affiliated clinicians

Practitioners 4

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1700099447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461412",
            "telephone_number": "313-382-9650",
            "fax_number": "313-382-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461412",
            "telephone_number": "313-382-9650",
            "fax_number": "313-382-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "313-382-9650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0762220001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.