Organization Active NPI

Family Eye Care Ctr P C

  • Optometrist
  • Frankenmuth, MI
National Provider Identifier
1780689687
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002349 Issued in MI
Legal business name
FAMILY EYE CARE CTR P C
Practice address
504 N Franklin St
Frankenmuth, MI 48734-1000
Phone
(989) 652-2626
Fax
(989) 652-2643
NPI assigned
Jun 16, 2005
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Sharon Keinath
Title
Insurance Biller
Phone
(989) 652-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002349 MI Primary

Addresses

Primary practice location

504 N Franklin St
Frankenmuth, MI 48734-1000

Mailing address

504 N Franklin St
Frankenmuth, MI 48734-1000
Phone (989) 652-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050504001009 MI Part B Supplier - Clinic/Group Practice 3678513140 Receives reassigned benefits from 2 practitioners
Practice locations: Frankenmuth, MI
O20100930088977 MI DME Supplier - Physician - Optometrist 3678513140 Practice locations: Frankenmuth, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Eye Care Ctr P C504 N Franklin St, Frankenmuth, MI 48734-1000(989) 652-2626 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
Family Eye Care Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1780689687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N FRANKLIN ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341000",
            "telephone_number": "989-652-2626",
            "fax_number": "989-652-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N FRANKLIN ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341000",
            "telephone_number": "989-652-2626",
            "fax_number": "989-652-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE CTR P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "KEINATH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "989-652-2626"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.