Organization Active NPI

Michael L Sussex OD PC

  • Eyewear Supplier
  • Coldwater, MI
National Provider Identifier
1104864313
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.