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Distinctive Eyewear, Inc.

Optometrist in Saint Clair, MI · enumerated 2006 · authorized official Elizabeth Moore, President.

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

National Provider Identifier

1336179597

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Registry record

Entity type Organization (Type 2)
Legal business name Distinctive Eyewear, Inc.
Practice address 1280 S 9th St, Saint Clair, MI, 48079
Fax (810) 329-3491
Enumeration date Jul 4, 2006
Last updated in NPPES Apr 10, 2015

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 4901002751 (MI) Primary

Authorized official

Name Elizabeth Moore
Title President

Other identifiers

Identifier Type State Issuer
101422 Other MI GREAT LAKES HEALTH PLAN
13314 Other MI SPECTERA
900G467000 Other MI BLUE CROSS
MI2751 Other MI EYEMED
MI02751 Other MI VISION BENEFIT OF AMERICA
943020464 Medicaid MI -
12065 Other MI HEALTH PLAN OF MI
25289 Other MI NATIONAL VISION ADMIN.
GK490100 Other MI BLUE CROSS PIN #
145807 Other MI COLE VISION DOCTOR #
146505 Other MI COLE VISION LOCATION #
3020464 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 Distinctive Eyewear, Inc.?
NPPES lists Elizabeth Moore (President) as the authorized official for this organization.
What is the NPI number for Distinctive Eyewear, Inc.?
The NPI for Distinctive Eyewear, Inc. is 1336179597, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-10.