St. Luke N.E.W. Life Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ST. LUKE N.E.W. LIFE CENTER, INC.

Practice address

3115 Lawndale Ave.
Flint, MI 48504

Phone

(810) 239-8710

Fax

(810) 239-8726

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By 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

Carol M. Weber

Title

Director

Phone

(810) 239-8710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1750935326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 LAWNDALE AVE.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-239-8710",
            "fax_number": "810-239-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 LAWNDALE AVE.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-239-8710",
            "fax_number": "810-239-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE N.E.W. LIFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-239-8710"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.