Organization Active NPI

Eye Care Optometry

  • Optometrist
  • Detroit, MI
National Provider Identifier
1881808202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE OPTOMETRY
Practice address
5825 W Fort St
Detroit, MI 48209-3156
Phone
(313) 841-0350
Fax
(313) 841-0932
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Hayes
Title
Billing Dept
Phone
(313) 841-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5825 W Fort St
Detroit, MI 48209-3156

Mailing address

5825 W Fort St
Detroit, MI 48209-3156
Phone (313) 841-0350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881808202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 W FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482093156",
            "telephone_number": "313-841-0350",
            "fax_number": "313-841-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 W FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482093156",
            "telephone_number": "313-841-0350",
            "fax_number": "313-841-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "313-841-0350"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • 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.