Organization Active NPI

Grand Blanc Vision Clinic P.C.

  • Optometrist
  • Grand Blanc, MI
National Provider Identifier
1013135870
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002226 Issued in MI
Legal business name
GRAND BLANC VISION CLINIC P.C.
Practice address
12606 Holly Rd
Grand Blanc, MI 48439-2447
Phone
(810) 694-3652
Fax
(810) 694-0963
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric L Schweihofer, ODNPI 1811062805
Title
Optometris
Phone
(810) 694-3652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002226 MI Primary

Addresses

Primary practice location

12606 Holly Rd
Grand Blanc, MI 48439-2447

Mailing address

12606 Holly Rd
Grand Blanc, MI 48439-2447
Phone (810) 694-3652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050818000868 MI Part B Supplier - Clinic/Group Practice 9739119793 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Blanc, MI
O20100930052554 MI DME Supplier - Physician - Optometrist 9739119793 Practice locations: Grand Blanc, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Grand Blanc Vision Clinic P.C12606 Holly Rd, Grand Blanc, MI 48439-2447(810) 694-3652 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1985

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1013135870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392447",
            "telephone_number": "810-694-3652",
            "fax_number": "810-694-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392447",
            "telephone_number": "810-694-3652",
            "fax_number": "810-694-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC VISION CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "SCHWEIHOFER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIS",
        "authorized_official_telephone_number": "810-694-3652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.