NPIMap

Organization Active NPI

P-Cor, LLC

Doing business as Advanced Eye Care Center

  • Optometrist
  • Sterling Heights, MI
National Provider Identifier
1780218883
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
P-COR, LLC
Doing business as
Advanced Eye Care Center
Practice address
44987 Schoenherr Rd Ste 150
Sterling Heights, MI 48313-1141
Phone
(586) 247-5910
NPI assigned
Feb 27, 2020
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Shakia Tisdale
Title
Credentialing/Privileging
Phone
(248) 577-3659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

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

Mailing address

735 John R Rd Ste 150
Troy, MI 48083-5859
Phone (248) 588-9300

Other names 1

  • Advanced Eye Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pcor-LLC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

44987 Schoenherr Rd
Ste 150
Sterling Heights, MI 48313
Phone (586) 247-5910

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • 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.