NPIMap

Organization Active NPI

Laingsburg Eye Care P.C.

  • Optometrist
  • Laingsburg, MI
National Provider Identifier
1790828622
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MB003617 Issued in MI
Legal business name
LAINGSBURG EYE CARE P.C.
Practice address
252 E Grand River Rd
Laingsburg, MI 48848-8600
Phone
(517) 651-6608
Fax
(517) 651-6603
NPI assigned
Feb 14, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Marsha A Brandon, O.D.NPI 1861466203
Title
Optometrist,Owner
Phone
(517) 651-6608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MB003617 MI Primary

Addresses

Primary practice location

252 E Grand River Rd
Laingsburg, MI 48848-8600

Mailing address

252 E Grand River Rd
PO Box 218
Laingsburg, MI 48848-8600
Phone (517) 651-6608

Other identifiers 6

IdentifierTypeStateIssuer
26475OtherMISPECTERA
MI3617OtherMIEYEMED
2270117MedicaidMI
LAINGSBURGEYEOtherMIDELTA VISION
200000000289AOtherMIPHP
5176516608OtherMIVSP

National Provider Directory

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1790828622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E GRAND RIVER RD",
            "address_2": "PO BOX 218",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488600",
            "telephone_number": "517-651-6608",
            "fax_number": "517-651-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E GRAND RIVER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488600",
            "telephone_number": "517-651-6608",
            "fax_number": "517-651-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAINGSBURG EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST,OWNER",
        "authorized_official_telephone_number": "517-651-6608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "MB003617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "26475",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MI3617",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270117",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA VISION",
            "identifier": "LAINGSBURGEYE",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000000289A",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "5176516608",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laingsburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.