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P-COR, LLC
NPI 1942887039
Optometrist in Royal Oak, MI

Active since March 25, 2021
110 E. 2ND STREET, ROYAL OAK, MI 48067(248) 951-0100(248) 951-0101 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About P-cor, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

P-COR, LLC (NPI 1942887039), doing business as Henry Ford Optimeyes, is a healthcare organization registered as an optometrist in Royal Oak, Michigan and active in the NPI registry since March 2021. The organization lists Shakia Tisdale, Credentialing & Privileging, as its authorized official.

NPPES Registry Identity

NPI1942887039
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameP-COR, LLC
Location Address110 E. 2ND STREETRoyal Oak, MI 48067
Mailing Address735 John R Rd Ste 150Troy, MI 48083-5859 · (248) 588-9300 · Fax (248) 781-9005
Phone(248) 951-0100
Fax(248) 951-0101
Organization SubpartNo
Authorized OfficialShakia TisdaleCredentialing & Privileging · (248) 577-3659
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1942887039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedEyewear SupplierTaxonomy 332H00000X
110 E. 2ND STREET, Royal Oak, MI 48067
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Other Names 1

Doing Business AsHenry Ford Optimeyes

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

P-cor, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20210514001254DME · Physician - OptometristDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is P-Cor, LLC's NPI number?

The NPI number for P-Cor, LLC is 1942887039. It was assigned to this organization in the NPPES registry on March 25, 2021. The provider is doing business as Henry Ford Optimeyes.

Where is P-Cor, LLC located?

P-Cor, LLC is located at 110 E. 2nd Street, Royal Oak, MI 48067. The listed phone number is (248) 951-0100.

What is P-Cor, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is P-Cor, LLC enrolled in Medicare?

Yes. P-Cor, LLC is registered in the Medicare PECOS enrollment system.

When is P-Cor, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Michigan, Physician - Optometrist) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for P-Cor, LLC was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.