Organization Active NPI

Superior Eyecare of Michigan LLC/ Patrice L Coates

  • Optometrist
  • Oak Park, MI
National Provider Identifier
1972469443
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES
Practice address
21841 Kenosha St
Oak Park, MI 48237
Phone
(248) 219-9782
Fax
(313) 450-0995
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Ms. Patrice L Coates
Title
Owner/ Authorized Official
Phone
(248) 219-9782

Specialties & licenses 1

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

Addresses

Primary practice location

21841 Kenosha St
Oak Park, MI 48237

Mailing address

6311 Haggerty Rd Ste 871
West Bloomfield, MI 48322-5031
Phone (248) 219-9782

Other names 1

  • Superior EyeCare of Michigan LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Superior Eyecare of Michigan LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1972469443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 HAGGERTY RD STE 871",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225031",
            "telephone_number": "248-219-9782",
            "fax_number": "313-450-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21841 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-219-9782",
            "fax_number": "313-450-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-219-9782",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior EyeCare of Michigan LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.