Adrian Eye Care, LLC
Adrian Eye Care, LLC is a healthcare organization registered as Optometrist in Adrian, MI, holding Type 2 (organization) NPI 1477680015 since 2007. The authorized official on file is Penny Jackson, Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477680015 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Adrian Eye Care, LLC |
| Other name | <Unavail> |
| Practice address | 580 RIVERSIDE AVE, Adrian, MI, 49221 |
| Phone | 5172656055 |
| Fax | 5172656115 |
| Enumeration date | 2007-02-28 |
| Last updated in NPPES | 2026-05-08 |
Authorized official
| Name | Penny Jackson |
|---|---|
| Title | Credentialing |
| Phone | 5172021618 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | 4901004286 | MI |
| 152W00000X | Optometrist | Primary | 4901002974 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4639178-86 | Other | MI | MEDICAID DISPENSING |
Copy-ready billing details
Provider: Adrian Eye Care, LLC NPI: 1477680015 Taxonomy: 152W00000X (Optometrist) Address: 580 RIVERSIDE AVE, Adrian, MI, 49221
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558367300 | Cara Condon | Individual | Optometrist | Adrian, MI |
| 1982600722 | Paul Lanczki | Individual | Optometrist | Adrian, MI |
| 1760588297 | Sherman Shultz | Individual | Ophthalmology Physician | Adrian, MI |
| 1194821652 | Steven Benz | Individual | Ophthalmology Physician | Adrian, MI |
| 1295807626 | Adrian Eye Care, LLC | Organization | Optometrist | Adrian, MI |
Verify this record
Cross-check NPI 1477680015 against the authoritative CMS record: view Adrian Eye Care, LLC 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
Who is the authorized official for Adrian Eye Care, LLC?
What is the NPI number for Adrian Eye Care, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-08.