Organization Active NPI

Eric T. Anklin, OD, PC

Doing business as Anklin Eye Care

  • Optometrist
  • Tecumseh, MI
National Provider Identifier
1851716161
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003804 Issued in MI
Legal business name
ERIC T. ANKLIN, OD, PC
Doing business as
Anklin Eye Care
Practice address
904 W Chicago Blvd Ste a
Tecumseh, MI 49286-1298
Phone
(517) 423-7447
Fax
(517) 423-7030
NPI assigned
Feb 23, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Eric Anklin, ODNPI 1861580169
Title
Owner
Phone
(517) 423-7447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003804 MI Primary

Addresses

Primary practice location

904 W Chicago Blvd Ste a
Tecumseh, MI 49286-1298

Mailing address

904 W Chicago Blvd Ste a
Tecumseh, MI 49286-1298
Phone (517) 423-7447

Other names 1

  • Anklin Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140409001871 MI Part B Supplier - Clinic/Group Practice 1658503453 Receives reassigned benefits from 1 practitioner
Practice locations: Tecumseh, MI

National Provider Directory

National Provider Directory

Locations

904 W Chicago Blvd
Tecumseh, MI 49286
Phone (517) 423-7447

Practitioners & affiliated clinicians

Practitioners 2

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": "1393113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1851716161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W CHICAGO BLVD STE A",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861298",
            "telephone_number": "517-423-7447",
            "fax_number": "517-423-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W CHICAGO BLVD STE A",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861298",
            "telephone_number": "517-423-7447",
            "fax_number": "517-423-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC T. ANKLIN, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-23",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "ANKLIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-423-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anklin Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.