Organization Active NPI

Unique Optical Inc

  • Ophthalmology Physician
  • Dearborn, MI
National Provider Identifier
1962502336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301030536 Issued in MI
Legal business name
UNIQUE OPTICAL INC
Practice address
15400 Michigan Ave
Ste 3
Dearborn, MI 48126
Phone
(313) 581-5600
Fax
(313) 581-7986
NPI assigned
Sep 25, 2006
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
Ms. Hanna Obertynski, MD
Title
President
Phone
(313) 581-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 4301030536 MI Primary

Addresses

Primary practice location

15400 Michigan Ave
Ste 3
Dearborn, MI 48126

Mailing address

15400 Michigan Ave
Ste 3
Dearborn, MI 48126
Phone (313) 581-5600

Other identifiers 1

IdentifierTypeStateIssuer
0317700001OtherMRDME(DMEPOS)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962502336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 MICHIGAN AVE",
            "address_2": "STE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-581-5600",
            "fax_number": "313-581-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 MICHIGAN AVE",
            "address_2": "STE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-581-5600",
            "fax_number": "313-581-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERTYNSKI",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-581-5600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301030536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRDME(DMEPOS)",
            "identifier": "0317700001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, 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.