OrganizationActive
William Beaumont Hosptial
NPI 1104031012 · Optometrist · Royal Oak, MI
William Beaumont Hosptial is a Optometrist organization in Royal Oak, MI (NPI 1104031012).
Provider details
- NPI number
- 1104031012
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lee Odom, President Shared Services(947) 522-3326
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 423-2454
Fax: (248) 423-2576
Street-level locationGet directions
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Other names (DBA / former)
- Doing business as
- Beaumont Optical Shop
- Doing business as
- Beaumont Optical Shop
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Frequently asked questions
- What is William Beaumont Hosptial's NPI number?
- William Beaumont Hosptial's National Provider Identifier (NPI) is 1104031012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is William Beaumont Hosptial?
- William Beaumont Hosptial is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is William Beaumont Hosptial located?
- William Beaumont Hosptial's practice location on file with NPPES is 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712.
- What is William Beaumont Hosptial's phone number?
- The practice phone number listed in the NPPES registry for William Beaumont Hosptial is (248) 423-2454.
- Who is the authorized official for William Beaumont Hosptial?
- The authorized official listed on William Beaumont Hosptial's NPPES record is Lee Odom, President Shared Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is William Beaumont Hosptial's NPI active?
- Yes — William Beaumont Hosptial's NPI (1104031012) is active in the NPPES registry as of the last update on 2021-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.