P-Cor, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

P-COR, LLC

Practice address

44987 Schoenherr Rd Ste 150
Sterling Heights, MI 48313-1141

Phone

(586) 247-5910

NPI assigned

Feb 27, 2020

Organization subpart

No

Name

Shakia Tisdale

Title

Credentialing/Privileging

Phone

(248) 577-3659

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

• P-Cor LLC

  • Optometrist
  • Plymouth, MI
  • NPI 1104571074
  NPD tax ID
• P-Cor LLC

  • Optometrist
  • Sterling HTS, MI
  • NPI 1154597508
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • Southfield, MI
  • NPI 1154954741
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214
  NPD tax ID
• P-Cor, LLC

  • Eyewear Supplier
  • Taylor, MI
  • NPI 1497996599
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • Commerce Township, MI
  • NPI 1821481078
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • Monroe, MI
  • NPI 1871788562
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • W Bloomfield, MI
  • NPI 1922274281
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • Detroit, MI
  • NPI 1922428887
  NPD tax ID
• P-Cor, LLC

  • Optometrist
  • Royal Oak, MI
  • NPI 1942887039
  NPD tax ID
• P-Cor,LLC

  • Optometrist
  • Chesterfield, MI
  • NPI 1598179301
  NPD tax ID
• Pcor - LLC

  • Optometrist
  • Madison HTS, MI
  • NPI 1447426705
  NPD tax ID

Tax ID family

P-Cor LLC (26 organizations share this tax ID)

Locations

• Advanced Eye Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2020.

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1780218883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-588-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44987 SCHOENHERR RD STE 150",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131141",
            "telephone_number": "586-247-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P-COR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "SHAKIA",
        "authorized_official_title_or_position": "CREDENTIALING/PRIVILEGING",
        "authorized_official_telephone_number": "248-577-3659"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720033343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Outstanding Home Care
• Rebecca Owen
• Kyiairra Jeanne Owens, KO
• Kaylyn Owings
• Omosola Oyeneyin
• Violet Rayos Pabalate, AGPCNP-BC
• Karlexlian Pacheco-Valentin
• Angelina Padilla
• Vincent James Paglino, PHARMACIST
• Pain Clinic Management Group, PLLC

• All providers in Sterling Heights, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.