Active NPI
Three Rivers Eyecare PC
- Eyewear Supplier
- Battle Creek, MI
National Provider Identifier
1013040120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- THREE RIVERS EYECARE PC
- Doing business as
- SUSSEX VISION CENTER
- Practice address
- 1525 A W Michigan Avenue
Battle Creek, MI 49017 - Phone
- (269) 964-9200
- Fax
- (269) 964-8818
- NPI assigned
- Mar 14, 2007
- Organization subpart
- Yes
- Parent organization
- THREE RIVERS EYECARE PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael L Sussex, OD
- Title
- President
- Phone
- (269) 964-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | MI | Primary |
Addresses
Primary practice location
1525 A W Michigan Avenue
Battle Creek, MI 49017
Mailing address
1525 A W Michigan Avenue
Battle Creek, MI 49017
Phone (269) 964-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 944932600 | Medicaid | MI | |
| 944946517 | Medicaid | MI | |
| 900G510070 | Other | BCBS |
Other names 1
- SUSSEX VISION CENTER
National Provider Directory
National Provider Directory- Part of
- Three Rivers Eye Care P
Locations
1525 Michigan Ave W
#A
Battle Creek, MI 49037
Phone (269) 964-9200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013040120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 A W MICHIGAN AVENUE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49017",
"telephone_number": "269-964-9200",
"fax_number": "269-964-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 A W MICHIGAN AVENUE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49017",
"telephone_number": "269-964-9200",
"fax_number": "269-964-8818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE RIVERS EYECARE PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THREE RIVERS EYECARE PC",
"enumeration_date": "2007-03-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SUSSEX",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-964-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "944932600",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "944946517",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "900G510070",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUSSEX VISION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.