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P-Cor, LLC

Optometrist in Southfield, MI · enumerated 2020 · authorized official Shakia Tisdale, Credentialing/Privileging.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154954741

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Registry record

Entity type Organization (Type 2)
Legal business name P-Cor, LLC
Practice address 29350 Southfield Rd Ste 150, Southfield, MI, 48076
Phone (248) 647-9790
Enumeration date Feb 21, 2020
Last updated in NPPES Feb 21, 2020

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Shakia Tisdale
Title Credentialing/Privileging
Phone (248) 577-3659

Other identifiers

Identifier Type State Issuer
1720033343 Medicaid MI -

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.

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Frequently asked questions

Who is the authorized official for P-Cor, LLC?
NPPES lists Shakia Tisdale (Credentialing/Privileging) as the authorized official for this organization.
What is the NPI number for P-Cor, LLC?
The NPI for P-Cor, LLC is 1154954741, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-21.