NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Adrian Eye Care, LLC

Optometrist in Adrian, MI · enumerated 2007 · authorized official Penny Jackson, Credentialing.

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

National Provider Identifier

1477680015

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Adrian Eye Care, LLC
Other name <Unavail>
Practice address 580 Riverside Ave, Adrian, MI, 49221
Phone (517) 265-6055
Fax (517) 265-6115
Enumeration date Feb 28, 2007
Last updated in NPPES May 8, 2026

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 4901002974 (MI) Primary
152W00000X Optometrist Eye and Vision Services Providers · License 4901004286 (MI) Secondary

Authorized official

Name Penny Jackson
Title Credentialing
Phone (517) 202-1618

Other identifiers

Identifier Type State Issuer
4639178-86 Other MI MEDICAID DISPENSING

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 → Validate an NPI →

Frequently asked questions

Who is the authorized official for Adrian Eye Care, LLC?
NPPES lists Penny Jackson (Credentialing) as the authorized official for this organization.
What is the NPI number for Adrian Eye Care, LLC?
The NPI for Adrian Eye Care, LLC is 1477680015, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-08.