Vicksburg Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VICKSBURG OPTOMETRY LLC

Doing business as

316 Optometry LLC

Practice address

800 E Chicago St
Coldwater, MI 49036-2055

Phone

(517) 278-2809

Fax

(517) 278-2199

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Maria Lyn-Shoop Garcia, ODNPI 1417042276

Title

Optometrist Owner

Phone

(269) 649-0103

Specialties & licenses 1

Addresses

Other names 1

• 316 Optometry LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Lyn-Shoop Garcia, O.D.

  • Optometrist
  • Coldwater, MI
  • NPI 1417042276
  NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1013689819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 ELLERY GROVE CT",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490977778",
            "telephone_number": "269-268-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362055",
            "telephone_number": "517-278-2809",
            "fax_number": "517-278-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKSBURG OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LYN-SHOOP",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "269-649-0103",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "316optometry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 E Chicago St",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490362055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "316 Optometry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Vanluven
• Mindy Lynn Vanvleet
• David Vaughn
• Arivoli Veerappan, MD
• Vero PLLC
• Diem Hong Vo, DO
• Christene M Vogel, B.S., QMHP, QIDP
• Kelly Elizabeth Vogler
• Timothy M Voss, RPH
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1593)

• Optometrist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.