HERITAGE OPTICAL INC. (NPI# 1053642397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053642397 |
| Entity Type | Organization |
| Organization Name | HERITAGE OPTICAL INC. |
| Practice Address |
2678 E Jefferson Ave Detroit MI 48207-4129 |
| Mailing Address |
19010 Livernois Ave Detroit MI 48221-2259 |
| Practice Telephone | 3132596006 |
| Mailing Telephone | 3138969581 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | GEORGE P BARNES JR. (PRESIDENT, C.E.O.) |
| Authorized Official Telephone | 3138639581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003146 | MI | Eye and Vision Services Providers |
| Street Address |
2678 E JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936039 | Linda Le | Optometrist | 1301 Orleans St Apt 1705, Detroit, MI 48207-2996 | 2020-06-15 |
| 1689077471 | Eyes On Midtown, PC | Optometrist | 71 Garfield St, Detroit, MI 48201-1905 | 2014-10-07 |
| 1104268267 | Grace Meram | Optometrist | 1449 Woodward Ave, Detroit, MI 48226-2001 | 2013-07-17 |
| 1679883490 | City of Detroit | Optometrist | 3245 E Jefferson Ave # 100, Detroit, MI 48207-4222 | 2010-10-14 |
| 1881808202 | Eye Care Optometry | Optometrist | 5825 W Fort St, Detroit, MI 48209-3156 | 2007-05-09 |
| 1649311697 | Dawn Caldwell | Optometrist | 87 Monroe St, Detroit, MI 48226-2855 | 2007-02-11 |
| 1639217722 | Jacquelyn Willilams-blakey | Optometrist | 71 Garfield St., Ste. 180, Detroit, MI 48201-1911 | 2007-02-02 |
| 1467598672 | Pearle Vision Inc | Optometrist | 16915 Livernois Ave, Detroit, MI 48221-3058 | 2007-01-29 |
| 1225174410 | Pearle Vision Inc | Optometrist | 333 E Jefferson Ave, Suite 297, Detroit, MI 48226-4352 | 2007-01-29 |
| 1053467142 | Richard Edwin Gay | Optometrist | 19173 Mack Ave, Detroit, MI 48230 | 2007-01-25 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.