Three Rivers Eyecare PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THREE RIVERS EYECARE PC

Doing business as

Sussex Vision Center

Practice address

56847 N Main St
Three Rivers, MI 49093

Phone

(269) 273-5825

Fax

(269) 279-6010

NPI assigned

Jun 2, 2006

Last updated

Jul 29, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

THREE RIVERS EYECARE PCAs reported in NPPES

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

Authorized official

Name

Michael L Sussex, ODNPI 1184665259

Title

President

Phone

(517) 278-6303

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Sussex Vision Center Doing business as

Part of

Three Rivers Eyecare PC

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.

• Michael L Sussex, OD

  • Optometrist
  • Coldwater, MI
  • NPI 1184665259
  Authorized official Same address or phone

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1063450278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56847 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "49093",
            "telephone_number": "269-273-5825",
            "fax_number": "269-279-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56847 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "49093",
            "telephone_number": "269-273-5825",
            "fax_number": "269-279-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS EYECARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS EYECARE PC",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-07-29",
        "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": "517-278-6303",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900G510070",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944553494",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943465664",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944696844",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945215713",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945191148",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sussex Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrence Thomas, PA
• Deborah Jean Thompson, LMSW
• Three Rivers Area Health Authority
• Three Rivers Area Medical Associates PC (dba Veera J. Patel, M.D.)
• Three Rivers Emergency Physicians PLLC
• Three Rivers Family Medicine, PLLC
• Three Rivers Health (Three Rivers Health Sleep Clinic)
• Three Rivers Health (Three Rivers Health Women's Services)
• Three Rivers Health (Three Rivers Health Internal Medicine)
• Three Rivers Health (Three Rivers Health Occupational Medicine)

• Eyewear Supplier in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.