Organization Active NPI

Steven a Voci OD PC

  • Optometrist
  • Charlevoix, MI
National Provider Identifier
1124289384
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003674 Issued in MI
Legal business name
STEVEN A VOCI OD PC
Practice address
103 Clinton St
Charlevoix, MI 49720-1301
Phone
(231) 547-2901
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Steven Voci, ODNPI 1548240260
Title
President
Phone
(231) 547-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003674 MI Primary

Addresses

Primary practice location

103 Clinton St
Charlevoix, MI 49720-1301

Mailing address

103 Clinton St
Charlevoix, MI 49720-1301
Phone (231) 547-2901

Other identifiers 4

IdentifierTypeStateIssuer
90 0A565030OtherBCBSM PIN
4153133MedicaidMI
944153133MedicaidMI
410042915OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000628 MI Part B Supplier - Clinic/Group Practice 2769549013 Receives reassigned benefits from 1 practitioner
Practice locations: Charlevoix, MI

National Provider Directory

National Provider Directory

Locations

103 Clinton St
Charlevoix, MI 49720
Phone (231) 547-2901

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1124289384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CLINTON ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201301",
            "telephone_number": "231-547-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CLINTON ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201301",
            "telephone_number": "231-547-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A VOCI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "VOCI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-547-2901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "90 0A565030",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153133",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944153133",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410042915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.