Fenton Ados Testing Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FENTON ADOS TESTING INC.

Practice address

212 W Silver Lake Rd
Fenton, MI 48430-2606

Phone

(810) 629-3070

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Juan Alvarado, O.D.

Title

President and Ceo

Phone

(810) 629-3070

Specialties & licenses 5

Addresses

Other names 1

• FENTON ADOS TESTING INC Former legal business name

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1881421113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302606",
            "telephone_number": "810-629-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302606",
            "telephone_number": "810-629-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON ADOS TESTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "810-629-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FENTON ADOS TESTING INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jacqueline Farber, RD, CDCES
• Julie Farman, LMSW
• Fda PC (Fenton Dental Associates)
• Angela Smith Feltz, FNP-C
• Fenton ABA Inc
• Fenton Behavioral Health Services
• Fenton Clinic
• Fenton Family Dental PLLC (Fenton Family Dental)
• Fenton Family Dentistry
• Fenton Family Dentistry PLLC

• 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 Sep 19, 2024; 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.