Organization Active NPI

Imlay City Optical Inc

  • Optician
  • Imlay City, MI
National Provider Identifier
1700912433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
IMLAY CITY OPTICAL INC
Practice address
125 W 3Rd St
Imlay City, MI 48444-1029
Phone
(810) 724-6155
Fax
(810) 724-7708
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Arthur F Whaley Jr.NPI 1083401913
Title
President
Phone
(810) 724-6155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X MI Primary

Addresses

Primary practice location

125 W 3Rd St
Imlay City, MI 48444-1029

Mailing address

125 W 3Rd St
Imlay City, MI 48444-1029
Phone (810) 724-6155

Other identifiers 2

IdentifierTypeStateIssuer
1003127MedicaidMI
OD47605OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

125 W 3rd St
Imlay City, MI 48444
Phone (810) 724-6155

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700912433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 3RD ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441029",
            "telephone_number": "810-724-6155",
            "fax_number": "810-724-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 3RD ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441029",
            "telephone_number": "810-724-6155",
            "fax_number": "810-724-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMLAY CITY OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-724-6155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003127",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OD47605",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.