Active NPI
Michael L Sussex OD PC
Doing business as Sussex Vision Center
- Eyewear Supplier
- Sturgis, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- MICHAEL L SUSSEX OD PC
- Doing business as
- Sussex Vision Center
- Practice address
- 706 S Centreville Rd
Sturgis, MI 49091 - Phone
- (269) 651-2960
- Fax
- (269) 657-4333
- NPI assigned
- Jun 5, 2006
- Last updated
- Aug 5, 2009
- Organization subpart
- Yes
- Parent organization
- MICHAEL L SUSSEX OD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael L Sussex, OD
- Title
- President Owner
- Phone
- (269) 651-2960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
706 S Centreville Rd
Sturgis, MI 49091
Mailing address
350 Marshall St
Coldwater, MI 49036
Phone (517) 278-6303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900A210070 | Other | MI | BCBS |
| 941776997 | Medicaid | MI |
Other names 1
- Sussex Vision Center
National Provider Directory
National Provider Directory- Part of
- Michael L Sussex OD PC
Locations
706 S Centerville Rd
Sturgis, MI 49091
Phone (269) 241-2700
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Coldwater, MI
- NPI 1184665259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1083653497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 MARSHALL ST",
"city": "COLDWATER",
"state": "MI",
"postal_code": "49036",
"telephone_number": "517-278-6303",
"fax_number": "517-279-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 S CENTREVILLE RD",
"city": "STURGIS",
"state": "MI",
"postal_code": "49091",
"telephone_number": "269-651-2960",
"fax_number": "269-657-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L SUSSEX OD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MICHAEL L SUSSEX OD PC",
"enumeration_date": "2006-06-05",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "SUSSEX",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "269-651-2960",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "900A210070",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941776997",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sussex Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sturgis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.