Organization Active NPI

Vision Without Limits LLC

  • Optometrist
  • Canton, MI
National Provider Identifier
1043920747
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION WITHOUT LIMITS LLC
Practice address
42461 Ford Rd
Canton, MI 48187-3303
Phone
(734) 981-5820
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Christopher Michaels Pavone, ODNPI 1902059470
Title
Co-Owner
Phone
(734) 892-5235

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 Primary

Addresses

Primary practice location

42461 Ford Rd
Canton, MI 48187-3303

Mailing address

42461 Ford Rd
Canton, MI 48187-3303
Phone (734) 981-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503001737 MI Part B Supplier - Clinic/Group Practice 9931564564 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, MI

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": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1043920747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42461 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873303",
            "telephone_number": "734-981-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42461 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873303",
            "telephone_number": "734-981-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION WITHOUT LIMITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "PAVONE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAELS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-892-5235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.