Organization Active NPI

Infinity Eye Care, Inc

  • Optometrist
  • Petoskey, MI
National Provider Identifier
1972927481
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003923 Issued in MI
Legal business name
INFINITY EYE CARE, INC
Practice address
932 Spring St Ste 201
Petoskey, MI 49770-2286
Phone
(231) 622-4779
Fax
(231) 622-4686
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Theresia Louise Sobczak, OD
Title
Owner
Phone
(231) 758-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003923 MI Primary

Addresses

Primary practice location

932 Spring St Ste 201
Petoskey, MI 49770-2286

Mailing address

932 Spring St Ste 201
Petoskey, MI 49770-2286
Phone (231) 622-4779

National Provider Directory

National Provider Directory

Locations

932 Spring St
Ste 201
Petoskey, MI 49770
Phone (231) 622-4779

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1972927481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 201",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-622-4779",
            "fax_number": "231-622-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 201",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-622-4779",
            "fax_number": "231-622-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "SOBCZAK",
        "authorized_official_first_name": "THERESIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-758-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.