NPIMap

Organization Active NPI

City of Detroit

  • Optometric Technician
  • Detroit, MI
National Provider Identifier
1821369620
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric TechnicianTaxonomy code 156FX1202X
Legal business name
CITY OF DETROIT
Practice address
3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222
Phone
(313) 876-4000
Fax
(313) 876-0177
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kanzoni Asabigi
Title
Sr. Public Health Advisor
Phone
(313) 876-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1202X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222

Mailing address

1151 Taylor St
Detroit, MI 48202-1732
Phone (313) 876-4717

Other identifiers 1

IdentifierTypeStateIssuer
445991MedicaidMI

Other names 1

  • Detroit Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medical Serv15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821369620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4717",
            "fax_number": "313-876-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 E JEFFERSON AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074222",
            "telephone_number": "313-876-4000",
            "fax_number": "313-876-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ASABIGI",
        "authorized_official_first_name": "KANZONI",
        "authorized_official_title_or_position": "SR. PUBLIC HEALTH ADVISOR",
        "authorized_official_telephone_number": "313-876-4000"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.