Organization Active NPI

Howell Vision Center, Inc.

Doing business as Howell Vision Center

  • Optometrist
  • Howell, MI
National Provider Identifier
1063675544
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HOWELL VISION CENTER, INC.
Doing business as
Howell Vision Center
Practice address
3850 E Grand River Ave
Howell, MI 48843-8593
Phone
(517) 548-9607
Fax
(517) 548-9609
NPI assigned
Jul 6, 2008
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Beth Ann Cudworth, O.D.NPI 1346345006
Title
President
Phone
(517) 545-3138

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

3850 E Grand River Ave
Howell, MI 48843-8593

Mailing address

P.O. Box 493
Howell, MI 48844-0493
Phone (517) 548-9607

Other identifiers 1

IdentifierTypeStateIssuer
0D71294OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Howell Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000753 MI Part B Supplier - Clinic/Group Practice 5890855795 Receives reassigned benefits from 2 practitioners
Practice locations: Howell, MI

National Provider Directory

National Provider Directory
Tax ID family
Fowlerville Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1215302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1063675544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 493",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488440493",
            "telephone_number": "517-548-9607",
            "fax_number": "517-548-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438593",
            "telephone_number": "517-548-9607",
            "fax_number": "517-548-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWELL VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-06",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CUDWORTH",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-545-3138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0D71294",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howell Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.