FAMILY OPTOMETRY ASSOCIATES, P.C. (NPI# 1417070392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417070392 |
| Entity Type | Organization |
| Organization Name | FAMILY OPTOMETRY ASSOCIATES, P.C. |
| Other Organization Name | FAMILY OPTOMETRY PC |
| Practice Address |
26771 W 12 Mile Rd Suite 100 Southfield MI 48034-1539 |
| Practice Telephone | 2482634900 |
| Practice Fax Number | 2482634903 |
| Mailing Telephone | 2482634900 |
| Mailing Fax Number | 2482634903 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2012-07-07 |
| Authorized Official Name | DR. WILLIAM JERRY LINDAHL (PRESIDENT) |
| Authorized Official Telephone | 2482634900 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 4901002652 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| Family Optometry PC | Other Name - Individual/Organization |
| Street Address |
26771 W 12 MILE RD SUITE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634616 | Howard S Goldberg | Internal Medicine | 26771 W 12 Mile Rd, Suite 110, Southfield, MI 48034-1539 | 2005-10-27 |
| 1780180521 | 2020 Family Vision Sf | Optometrist | 26771 W 12 Mile Rd, Southfield, MI 48034 | 2018-04-02 |
| 1073992483 | Stephen E. Gork, Dds,pc | Dentist | 26771 W 12 Mile Rd, G-115, Southfield, MI 48034-1539 | 2015-05-19 |
| 1124393202 | Iman Np Center LLC | Advanced Practice Midwife | 26771 W 12 Mile Rd, Suite 101, Southfield, MI 48034-1539 | 2012-03-21 |
| 1841520830 | Howard S Goldberg Md PC | Internal Medicine | 26771 W 12 Mile Rd, Ste 110, Southfield, MI 48034-1539 | 2010-01-13 |
| 1285814020 | Strive Joint & Health Center P.C. | Physical Medicine & Rehabilitation | 26771 W 12 Mile Rd, Suite 106, Southfield, MI 48034-1539 | 2007-11-09 |
| 1023205366 | Northwest Ophthalmology,pc | Ophthalmology | 26771 W 12 Mile Rd, Suite 105, Southfield, MI 48034-1539 | 2007-10-01 |
| 1225258015 | Advanced Primary Eyecare P.C. | Optometrist | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2007-04-26 |
| 1104994532 | William Jerry Lindahl | Optometrist | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2006-12-02 |
| 1326151960 | North Woodward Capsule Imaging, LLC | Internal Medicine | 26771 W 12 Mile Rd, Ste 106, Southfield, MI 48034-1539 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003359985 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 24571 W 12 Mile Rd, Southfield, MI 48034 | 2016-11-28 |
| 1376683649 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 28620 Telegraph Rd, Southfield, MI 48034-1934 | 2007-02-07 |
| 1124173901 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 19800 W 8 Mile Rd, Southfield, MI 48075-5730 | 2007-01-24 |
| 1801827498 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 19747 W 12 Mile Rd, Evergreen Plaza, Ste L7a, Southfield, MI 48076-2584 | 2006-07-05 |
| 1114384757 | University Physician Group | Eyewear Supplier (Equipment, not the service) | 26400 W 12 Mile Rd, Suite 60, Southfield, MI 48034-1774 | 2016-01-27 |
| 1720462815 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 29157 Southfield Rd, Southfield, MI 48076-1900 | 2015-07-17 |
| 1760640718 | Benjamin H Stein Od Inc | Eyewear Supplier (Equipment, not the service) | 21500 Northwestern Hwy, Suite #635, Southfield, MI 48075-5018 | 2008-05-27 |
| 1174799530 | Pcor LLC | Eyewear Supplier (Equipment, not the service) | 29350 Southfield Rd, Southfield, MI 48076-2011 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| 1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
| 1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.