Active NPI
SVS Vision Inc
- Eyewear Supplier
- Stockbridge, GA
National Provider Identifier
1073648424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SVS VISION INC
- Practice address
- 3552 Highway 138 SE
Stockbridge, GA 30281-4170 - Phone
- (770) 506-7310
- Fax
- (770) 506-7598
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert G Farrell Jr., OD
- Title
- Owner/Ceo
- Phone
- (586) 468-7370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | GA | Primary |
Addresses
Primary practice location
3552 Highway 138 SE
Stockbridge, GA 30281-4170
Mailing address
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 464-1479
Other names 1
- SVS VISION 38
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100707000432 | GA | Part B Supplier - Clinic/Group Practice | 9931257110 |
Receives reassigned benefits from 2 practitioners Practice locations: Stockbridge, GA |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- SVS Vision Inc
Locations
3552 Highway 138 SE
Stockbridge, GA 30281
Phone (770) 316-8009
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.
-
- Optometrist
- Hampton, GA
- NPI 1336349901
-
- Optometrist
- Stockbridge, GA
- NPI 1851731988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1073648424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CASS AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432204",
"telephone_number": "586-464-1479",
"fax_number": "586-464-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3552 HIGHWAY 138 SE",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814170",
"telephone_number": "770-506-7310",
"fax_number": "770-506-7598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SVS VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "586-468-7370",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SVS VISION 38",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "SVS VISION 38",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.