FORTNEY EYECARE ASSOCIATES INC – Optometrist, NPI 1508970310

FORTNEY EYECARE ASSOCIATES INC is a healthcare provider. based in Dearborn, Michigan. specializing in Optometrist. The organization holds a License No. 4901001955 (MI). The NPI Number for FORTNEY EYECARE ASSOCIATES INC is 1508970310

Main info

Organization
Name
FORTNEY EYECARE ASSOCIATES INC
NPI
1508970310
Phone
(313) 565-5600
Address
23469 MICHIGAN AVENUE
Authorized Official
ROBERT TAYLOR VP
Enumeration Date
18 August 2006
Last Update Date
9 April 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FORTNEY EYECARE ASSOCIATES INC

  • Fortney Eyecare, 23469, Michigan Avenue, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 48124

    Phone: (313) 565-5600

    Fax: (313) 562-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (79 days away).

Enrollment records

2

Earliest due date

2026-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050127000371OClinic/Group PracticeMI2026-08-31
O20100930032709OPhysician - OptometristMITBD

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48124)

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Reviews

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Frequently asked questions

Can I cross-check FORTNEY EYECARE ASSOCIATES INC using NPI 1508970310?
NPI 1508970310 belongs to FORTNEY EYECARE ASSOCIATES INC; compare other details if you need extra assurance.
Is there an active status for FORTNEY EYECARE ASSOCIATES INC?
For scheduling context, FORTNEY EYECARE ASSOCIATES INC is shown as active in the registry.
What kind of doctor is FORTNEY EYECARE ASSOCIATES INC?
FORTNEY EYECARE ASSOCIATES INC is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with FORTNEY EYECARE ASSOCIATES INC?
Directory geography for FORTNEY EYECARE ASSOCIATES INC centers on Dearborn, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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