Family Eye Care Associates of Escanaba, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003761 Issued in MI

Legal business name

FAMILY EYE CARE ASSOCIATES OF ESCANABA, PC

Practice address

814 Ludington St
Family Eye Care
Escanaba, MI 49829-3828

Phone

(906) 786-6573

Fax

(906) 786-1174

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mark Lawrence Barinotti, O.D.NPI 1144313891

Title

Owner

Phone

(906) 786-6573

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Eye Care Associates of Escanaba, PC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Lawrence Barinotti, OD

  • Optometrist
  • Escanaba, MI
  • NPI 1144313891
  Medicare reassignment NPD Authorized official
• David S Cook, O.D.

  • Optometrist
  • Cadillac, MI
  • NPI 1780753749
  NPD (past)
• Jonathan Kendall, OD

  • Optometrist
  • Cadillac, MI
  • NPI 1962185165
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1841326238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293828",
            "telephone_number": "906-786-6573",
            "fax_number": "906-786-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 LUDINGTON ST",
            "address_2": "FAMILY EYE CARE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293828",
            "telephone_number": "906-786-6573",
            "fax_number": "906-786-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE ASSOCIATES OF ESCANABA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BARINOTTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-786-6573",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900B110440",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care Associates of Escanaba, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.