Pcor LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PCOR LLC

Practice address

19401 Hubbard Dr
Dearborn, MI 48126-2641

Phone

(248) 577-3616

Fax

(248) 307-9518

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Elias

Title

Director of Finance

Phone

(248) 577-3624

Specialties & licenses 2

Addresses

Other names 1

• Henry Ford Optimeyes Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Henry Ford Health System

  • Optometrist
  • Detroit, MI
  • NPI 1346324688

  Member Of

  NPD member

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1720254147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711850",
            "telephone_number": "248-577-3616",
            "fax_number": "248-307-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 HUBBARD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262641",
            "telephone_number": "248-577-3616",
            "fax_number": "248-307-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "248-577-3624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Optimeyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geraldine L Pawlik, M.D.
• Brianne Nicole Payne
• Diamond Charveon Payne
• Tatiyana Payton
• Pcor LLC
• Katelyn Peabody
• Pearl Health Management
• Tannisha Pearson
• Pediatric Behavior Solutions LLC
• Pedro V. Caing, M.D., P.C.

• Optometrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.