NPIMap

Organization Active NPI

Fortney Eyecare Associates

  • Eyewear Supplier
  • Dearborn, MI
National Provider Identifier
1730332479
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4901001955 Issued in MI
Legal business name
FORTNEY EYECARE ASSOCIATES
Practice address
23469 Michigan Ave
Dearborn, MI 48124-1908
Phone
(313) 565-5600
Fax
(313) 562-3000
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Miss Jobeth Carilo
Title
Billing
Phone
(313) 565-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4901001955 MI Primary

Addresses

Primary practice location

23469 Michigan Ave
Dearborn, MI 48124-1908

Mailing address

23469 Michigan Ave
Dearborn, MI 48124-1908

National Provider Directory

National Provider Directory
Tax ID family
Fortney Eyecare Associates Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1730332479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23469 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23469 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-565-5600",
            "fax_number": "313-562-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTNEY EYECARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "CARILO",
        "authorized_official_first_name": "JOBETH",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "313-565-5600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.