NPIMap

Organization Active NPI

P-Cor, LLC

Doing business as Henry Ford Optimeyes

  • Optometrist
  • W Bloomfield, MI
National Provider Identifier
1922274281
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
P-COR, LLC
Doing business as
Henry Ford Optimeyes
Practice address
7230 Orchard Lake Rd
W Bloomfield, MI 48322-3603
Phone
(248) 661-5100
NPI assigned
May 6, 2008
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Mrs. Gail Elias
Title
VP
Phone
(248) 577-3624

Specialties & licenses 1

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

Addresses

Primary practice location

7230 Orchard Lake Rd
W Bloomfield, MI 48322-3603

Mailing address

735 John R Rd Ste 150
Troy, MI 48083-5859
Phone (248) 588-9300

Other practice location 1

6530 Farmington Rd Ste 300
West Bloomfield, MI 48322-3216
Phone (248) 661-5100

Other names 1

  • HENRY FORD OPTIMEYES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117001002 MI DME Supplier - Physician - OptometristDME Supplier - Optician 9931194149 Practice locations: W Bloomfield, MI

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Henry Ford Optimeyes7230 Orchard Lake Rd, W Bloomfield, MI 48322-3216(248) 661-5100 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1997

National Provider Directory

National Provider Directory
Tax ID family
P Cor LLC Henry Ford Op26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1922274281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-588-9300",
            "fax_number": "248-307-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ORCHARD LAKE RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223603",
            "telephone_number": "248-661-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6530 Farmington Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223216",
            "country_code": "US",
            "telephone_number": "248-661-5100",
            "fax_number": "248-307-9518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P-COR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "248-577-3624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD OPTIMEYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in W Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.