National Provider Identifier Database

ADRIAN EYE CARE LLC
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.


Contact Information

ADRIAN EYE CARE, LLC
580 RIVERSIDE AVE
ADRIAN, MI49221-1543
Phone: 517-265-6055
Fax: 517-265-6115
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for ADRIAN EYE CARE, LLC

NPI Number 1295807626
Legal business name
LBN
ADRIAN EYE CARE, LLC
Authorized official PENNY JACKSON - (CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 11/14/2006
Last updated 05/08/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4901002974
  • MI License #: 4901004286
  • MI Medicaid: 864639178
  • MI Other: 5276880001 DMERC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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