Organization Active NPI

Vision Eye Care

  • Ophthalmology Physician
  • Kalamazoo, MI
National Provider Identifier
1174855134
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISION EYE CARE
Practice address
123 S Westnedge Ave
Kalamazoo, MI 49007-4625
Phone
(269) 343-0377
Fax
(269) 343-4744
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Munzer Abdulhak, M.D.NPI 1316155864
Title
Corp President
Phone
(269) 343-0377

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

123 S Westnedge Ave
Kalamazoo, MI 49007-4625

Mailing address

123 S Westnedge Ave
Kalamazoo, MI 49007-4625
Phone (269) 343-0377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823001111 MI Part B Supplier - Clinic/Group Practice 6608990908 Receives reassigned benefits from 4 practitioners
Practice locations: Portage, MI

National Provider Directory

National Provider Directory

Locations

123 S Westnedge Ave
Kalamazoo, MI 49007
Phone (269) 343-0377

Practitioners & affiliated clinicians

Practitioners 8

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1174855134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074625",
            "telephone_number": "269-343-0377",
            "fax_number": "269-343-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074625",
            "telephone_number": "269-343-0377",
            "fax_number": "269-343-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ABDULHAK",
        "authorized_official_first_name": "MUNZER",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "269-343-0377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.