Organization Active NPI

Advanced Vision Care, P.C.

  • Ophthalmology Physician
  • Kalamazoo, MI
National Provider Identifier
1053497545
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
53115 Issued in MI
Legal business name
ADVANCED VISION CARE, P.C.
Practice address
333 Turwill LN
Kalamazoo, MI 49006-5225
Phone
(269) 373-3937
Fax
(269) 373-8881
NPI assigned
Oct 27, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Joseph William Hosner, M.D.NPI 1639255110
Title
President
Phone
(269) 373-3937

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
Ophthalmology Physician 207W00000X 53115 MI Primary

Addresses

Primary practice location

333 Turwill LN
Kalamazoo, MI 49006-5225

Mailing address

333 Turwill LN
Kalamazoo, MI 49006-5225
Phone (269) 373-3937

Other identifiers 1

IdentifierTypeStateIssuer
3481855MedicaidMI

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050201000747 MI Part B Supplier - Clinic/Group Practice 6800847443 Receives reassigned benefits from 2 practitioners
Practice locations: Kalamazoo, MI
O20100930053721 MI DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6800847443 Practice locations: Kalamazoo, 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
Advanced Vision Care PC333 Turwill LN, Kalamazoo, MI 49006-5225(269) 373-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Dec 17, 2004

National Provider Directory

National Provider Directory

Locations

333 Turwill Ln
Ste A
Kalamazoo, MI 49006
Phone (269) 373-3937

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1053497545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065225",
            "telephone_number": "269-373-3937",
            "fax_number": "269-373-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065225",
            "telephone_number": "269-373-3937",
            "fax_number": "269-373-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISION CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "HOSNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-373-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "53115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3481855",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.