Excel Institute, LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

EXCEL INSTITUTE, LLC

Practice address

328 Munson Ave
Suite C
Traverse City, MI 49686

Phone

(231) 946-7700

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Noss, O.DNPI 1205814779

Title

Member

Phone

(231) 946-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Noss, OD

  • Optometrist
  • Traverse City, MI
  • NPI 1205814779
  Medicare reassignment Care Compare group Authorized official
• Christina Marie Robbins, OTR/L

  • Occupational Therapist
  • Traverse City, MI
  • NPI 1548155286
  Medicare reassignment Care Compare group NPD
• Brooke Ensing, MS, OTRL

  • Occupational Therapist
  • Traverse City, MI
  • NPI 1144613217
  Medicare reassignment Care Compare group
• Kaylee Ann Bradeen, OTR/L

  • Occupational Therapist
  • Traverse City, MI
  • NPI 1356290670
  Medicare reassignment

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1104176213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MUNSON AVE",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863040",
            "telephone_number": "231-946-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MUNSON AVE",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-946-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "NOSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-946-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON-PAR ID",
            "identifier": "90-0-B8-1190-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley K. Evans, M.D.
• Tamlynn Evans, APRN, BC, NP
• Theresa A Evans, MSW, LMSW
• Tonya Jean Evans, PTA
• Lily B Ewing
• Eyemart Express LLC
• Ez Sleep Supplies LLC
• Kathy Faba
• John D Faichney, MD
• Katherine Anne Fain, DPT

• Vision Therapy Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.