NPIMap

Organization Active NPI

Fortney Eyecare Associates Inc

  • Optometrist
  • Warren, MI
National Provider Identifier
1851429112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901001955 Issued in MI
Legal business name
FORTNEY EYECARE ASSOCIATES INC
Practice address
3824 E 13 Mile Rd
Warren, MI 48092-1314
Phone
(586) 751-2600
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Taylor
Title
Vice President
Phone
(313) 565-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4901001955 MI Primary

Addresses

Primary practice location

3824 E 13 Mile Rd
Warren, MI 48092-1314

Mailing address

3824 E 13 Mile Rd
Warren, MI 48092-1314
Phone (586) 751-2600

National Provider Directory

National Provider Directory
Tax ID family
Fortney Eyecare Associates Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3824 E 13 Mile Rd
Warren, MI 48092

Practitioners & affiliated clinicians

Practitioners 3

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851429112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921314",
            "telephone_number": "586-751-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921314",
            "telephone_number": "586-751-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTNEY EYECARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "313-565-5600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.