Flint Sensory Learning Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

L912147 Issued in MI

Legal business name

FLINT SENSORY LEARNING CENTER LLC

Practice address

4091 Richfield Rd
Flint, MI 48506-2033

Phone

(810) 736-6673

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley E. Habermehl, O.D.

Title

Director

Phone

(810) 736-0710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881754893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT SENSORY LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABERMEHL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-736-0710",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L912147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.