Individual provider Active NPI

Barbara E Fayos, O.D.

  • Optometrist
  • Jackson, MI
National Provider Identifier
1871651034
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004099 Issued in MI
Practice address
1401 N West Ave
Jackson, MI 49202-2052
Phone
(517) 780-9774
Fax
(517) 789-7111
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004099 MI Primary

Addresses

Primary practice location

1401 N West Ave
Jackson, MI 49202-2052

Mailing address

1401 N West Ave
Jackson, MI 49202-2052
Phone (517) 780-9774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1871651034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022052",
            "telephone_number": "517-780-9774",
            "fax_number": "517-789-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022052",
            "telephone_number": "517-780-9774",
            "fax_number": "517-789-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYOS",
        "first_name": "BARBARA",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.