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Mac Optical

Mac Optical is a healthcare organization registered as Optometrist in Fenton, MI, holding Type 2 (organization) NPI 1114114428 since 2007. The authorized official on file is Denise Hendricks, Office Administrator.

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NPI 1114114428
Entity type Organization (Type 2)
Legal business name Mac Optical
Other name <Unavail>
Practice address 1425 N LEROY ST, Fenton, MI, 48430
Phone 8106292041
Fax 8106299366
Enumeration date 2007-10-01
Last updated in NPPES 2008-03-13

Authorized official

Name Denise Hendricks
Title Office Administrator
Phone 2488874861

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary 4901003723 MI

Other identifiers

Identifier Type State Issuer
0B51128 Other MI BLUE CROSS BLUE SHIELD
900B51128 Other MI BLUE CROSS BLUE SHIELD
0N11050 Other MI HAP
3442884 Medicaid MI
Copy-ready billing details
Provider: Mac Optical
NPI: 1114114428
Taxonomy: 152W00000X (Optometrist)
Address: 1425 N LEROY ST, Fenton, MI, 48430

Providers at this address

NPI Name Type Specialty Location
1295868602 Mac Optical Organization Optometrist Fenton, MI
1225442759 Joseph Leppek Individual Optometrist Fenton, MI
1508260852 Joseph M Leppek O.D. Pllc Organization Optometrist Fenton, MI
1255714150 Gloria Enriquez Individual Optometrist Fenton, MI

Verify this record

Cross-check NPI 1114114428 against the authoritative CMS record: view Mac Optical on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mac Optical located?
The practice location on file with NPPES is in Fenton, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-13.