Southwest Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004625 Issued in MI

Legal business name

SOUTHWEST VISION CENTER INC

Practice address

314 S US Highway 131
Suite B
Three Rivers, MI 49093-8835

Phone

(989) 289-2669

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Lambart, OD

Title

President

Phone

(989) 289-2669

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Vision Center Inc.

  • Optometrist
  • Buchanan, MI
  • NPI 1003368713

  O20121105000554

  Same enrollment
• Southwest Vision Center Inc.

  • Optometrist
  • Edwardsburg, MI
  • NPI 1871852939

  O20121105000554

  Same enrollment

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1093103541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S US HIGHWAY 131",
            "address_2": "SUITE B",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938835",
            "telephone_number": "989-289-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S US HIGHWAY 131",
            "address_2": "SUITE B",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938835",
            "telephone_number": "989-289-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "LAMBART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-289-2669",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Snell
• Alyssa Marie-Fern Sotelo
• James Loren Souers
• Southwest Michigan Chiropractic, Inc, (SWMC)
• Southwest Michigan Psychological Solutions, PLLC
• Joanne Southworth, LPN
• Kristi Sue Spoelma, MA LLPC
• Steven Michael Squires, PA-C
• St. Joseph County Commission on Aging
• Brandi Lynn Steele

• Optometrist in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.