MYEYEDR OPTOMETRY OF MICHIGAN LLC NPI 1053996579

NPI Information

  • NPI: 1053996579
  • Provider Name: MYEYEDR OPTOMETRY OF MICHIGAN, LLC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: RX OPTICAL
  • Address: 1421 S 11TH ST
    NILES, MI
    ZIP 49120
  • Phone: (269) 684-1330

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NPI Details

MYEYEDR OPTOMETRY OF MICHIGAN, LLC is an optometrist in Niles, MI. The provider is 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. MYEYEDR OPTOMETRY OF MICHIGAN, LLC NPI is 1053996579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rx Optical.

The provider's business location address is:

1421 S 11TH ST
NILES, MI
ZIP 49120-201
Phone: (269) 684-1330
Fax: (269) 684-3353

The provider's authorized official is Sue Downes .
The authorized official title is Secretary and has the following contact phone number (703) 847-8899.

The enumeration date for this NPI number is 3/16/2021 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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