Organization Active NPI

Orbital Vision PLLC

  • Clinic/Center
  • Berkley, MI
National Provider Identifier
1154184265
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ORBITAL VISION PLLC
Doing business as
Orbital Vision PLLC
Practice address
2615 12 Mile Rd
Berkley, MI 48072-1627
Phone
(248) 881-0613
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. Madeleine Seidel, ODNPI 1669150454
Title
Optometrist/Owner
Phone
(248) 810-0809

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2615 12 Mile Rd
Berkley, MI 48072-1627

Mailing address

2615 12 Mile Rd
Berkley, MI 48072-1627

Other names 1

  • Orbital Vision PLLC Doing business as

National Provider Directory

National Provider Directory

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": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1154184265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721627",
            "telephone_number": "248-881-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBITAL VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "248-810-0809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orbital Vision PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orbital Vision PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.