NPI Code Detail JSON Logo

1003772302 NPI number — SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES

NPI Number: 1003772302
Health Care Provider/Practitioner: SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES

Information about “1003772302” NPI (SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES) exists in 1003772302 in HTML format HTML  |  1003772302 in plain Text format TXT  |  1003772302 in PDF (Portable Document Format) PDF  |  1003772302 in an XML format XML  formats.

NPI Number : 1003772302 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003772302",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUPERIOR EYECARE OF MICHIGAN LLC/ PATRICE L COATES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21841 KENOSHA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK PARK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48237-2651",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-228-7315",
    "MailingAddressFaxNumber": "313-450-0995",
    "FirstLinePracticeLocationAddress": "21841 KENOSHA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK PARK",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48237-2651",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-228-7315",
    "PracticeLocationAddressFaxNumber": "313-450-0995",
    "EnumerationDate": "12/30/2025",
    "LastUpdateDate": "12/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COATES",
    "AuthorizedOfficialFirstName": "PATRICE",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CEO/ AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-228-7315",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332H00000X",
        "TaxonomyName": "Eyewear Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.