Organization Active NPI

Optics Center

  • Eyewear Supplier
  • Dearborn, MI
National Provider Identifier
1831700061
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICS CENTER
Practice address
6645 Schaefer Rd
Dearborn, MI 48126-1812
Phone
(313) 231-0695
NPI assigned
Aug 11, 2020
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Moe Mukahal
Title
Manager
Phone
(313) 231-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

6645 Schaefer Rd
Dearborn, MI 48126-1812

Mailing address

6645 Schaefer Rd
Dearborn, MI 48126-1812
Phone (313) 395-2729

National Provider Directory

National Provider Directory

Locations

6645 Schaefer Rd
Dearborn, MI 48126
Phone (313) 231-0695

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1831700061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261812",
            "telephone_number": "313-395-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261812",
            "telephone_number": "313-231-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "MUKAHAL",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-231-9696"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.