Active NPI
Michael L Sussex OD PC
- Eyewear Supplier
- Coldwater, MI
National Provider Identifier
1104864313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- MICHAEL L SUSSEX OD PC
- Practice address
- 350 Marshall St
Coldwater, MI 49036 - Phone
- (517) 278-6303
- Fax
- (517) 279-6010
- NPI assigned
- Jun 2, 2006
- 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
- Phone
- (517) 278-6303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
350 Marshall St
Coldwater, MI 49036
Mailing address
350 Marshall St
Coldwater, MI 49036
Phone (517) 278-6303
Other names 1
- Sussex Vision Center
National Provider Directory
National Provider Directory- Part of
- Michael L Sussex OD PC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1104864313",
"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": "350 MARSHALL ST",
"city": "COLDWATER",
"state": "MI",
"postal_code": "49036",
"telephone_number": "517-278-6303",
"fax_number": "517-279-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L SUSSEX OD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MICHAEL L SUSSEX OD PC",
"enumeration_date": "2006-06-02",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "SUSSEX",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-278-6303",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sussex Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.