Group Vision Center, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GROUP VISION CENTER, INC.

Practice address

4337 Maple St
Dearborn, MI 48126-3535

Phone

(313) 582-7440

Fax

(313) 582-8090

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Walter J Cukrowski

Title

Owner

Phone

(248) 352-2806

Specialties & licenses 2

Addresses

Other names 1

• Midwestern Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Group Vision Center, Inc.

  • Optometrist
  • Dearborn, MI
  • NPI 1992133169

  O20131016001038

  Same enrollment

Locations

Practitioners 1

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

• Roman Goldvekht, O.D.

  • Optometrist
  • Dearborn, MI
  • NPI 1265582753
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1124178694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263535",
            "telephone_number": "313-582-7440",
            "fax_number": "313-582-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263535",
            "telephone_number": "313-582-7440",
            "fax_number": "313-582-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "CUKROWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-352-2806"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwestern Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwestern Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Griffin
• Jayvaughn Deante Grissom
• Alonzo Gerrard Groggins, ATC, AT
• Hailey Lynn Gross
• Jennifer Michelle Gross, M.ED., BCBA, LBA
• Group Vision Center, Inc.
• Grow Your Mind Therapy
• Hajer N Gsouda I
• Guat Sy Jr MD PC
• Cynthia Makayla Guelette

• Eyewear Supplier in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.