T W Eason OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002302 Issued in MI

Legal business name

T W EASON OD PC

Practice address

3191 S Linden Rd
Sears Optical
Flint, MI 48507

Phone

(810) 733-4252

Fax

(810) 733-4216

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. T W Eason, OD PC

Title

President

Phone

(810) 694-0162

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274486400000",
    "number": "1801800487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12102 PINE ROW LANE",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-694-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 S LINDEN RD",
            "address_2": "SEARS OPTICAL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-733-4252",
            "fax_number": "810-733-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T W EASON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-05-22",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-694-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3194131",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gayle Szikszay, LLMSW
• Christine Szostak, LMSW
• Paul Szpunar, LLMSW
• Christopher S Szyarto, D.O.
• Angela Suzanne Szymanski, DDS
• Mohammad Jalal Tabbah, M.D
• Steven Courter Taft, D.D.S.
• Isam Tahboub, R.PH., M.S.
• Qurat Ul Ain Tahir
• Tai K. Kang, M.D., P.C.

• 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 May 22, 2010; 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.