Iris Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IRIS EYECARE PC

Practice address

403 S Leroy St
Fenton, MI 48430-2143

Phone

(810) 694-3652

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Teri Aho

Title

Billing Coordinator

Phone

(810) 694-3652

Specialties & licenses 1

Addresses

Other names 2

• Holly Vision Clinic Other name
• Iris Eyecare PC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Lauren Ewald

  • Optometrist
  • Grand Blanc, MI
  • NPI 1841974037
  Medicare reassignment Care Compare group NPD
• Daniel L Markley, OD

  • Optometrist
  • Grand Blanc, MI
  • NPI 1902971997
  Medicare reassignment Care Compare group NPD
• Eric L Schweihofer, OD

  • Optometrist
  • Grand Blanc, MI
  • NPI 1811062805
  Medicare reassignment NPD
• Allison Middleton, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1598172108

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1881155281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302143",
            "telephone_number": "810-694-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "AHO",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "810-694-3652"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Vision Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Iris Eyecare PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inner Trail Therapy PLLC
• Innovative Healthcare Solutions, LLC
• Institute for Christian Counseling PC
• Integrated Behavioral Health LLC
• Intentional Wellbeing LLC
• Ivyrehab Michigan, LLC
• J Flack PSYD PC (Fenton Wellness)
• Belle Jackson
• Jeffrey A. Jacob, P.T.
• Shannon Nicole Jacobs, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.