Royal Oak Optical PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROYAL OAK OPTICAL PLLC

Doing business as

Fashion Eyeglass

Practice address

32756 Woodward Ave
Royal Oak, MI 48073-0953

Phone

(248) 549-3937

NPI assigned

Feb 1, 2023

Last updated

Feb 9, 2023By 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

Drew Langton, ODNPI 1912493453

Title

Owner

Phone

(248) 549-3937

Specialties & licenses 1

Addresses

Other names 1

• FASHION EYEGLASS Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Drew Jordan Langton, OD

  • Optometrist
  • Clawson, MI
  • NPI 1912493453
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Polidori Koski, OD

  • Optometrist
  • Sterling HTS, MI
  • NPI 1417987603
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1700582889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32756 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32756 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730953",
            "telephone_number": "248-549-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LANGTON",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-549-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FASHION EYEGLASS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Royal Oak Medical Center, P.C.
• Royal Oak Pediatric Therapies, LLC
• Royal Oak Surgical Center, LLC
• Royal Smiles PLLC
• Royal Urgent Care, PLLC
• Royale Pharmacy Inc.

• Optometrist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.