Landis Vision Center LLC

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Legal business name

LANDIS VISION CENTER LLC

Practice address

3600 S Dort Hwy
Flint, MI 48507-2093

Phone

(810) 743-2830

Fax

(810) 743-1729

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Tracey Allen Landis

Title

Owner/Manager

Phone

(810) 743-2830

Specialties & licenses 1

Addresses

Practitioners 2

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

• Erik Steven Hanson, O.D.

  • Optometrist
  • Kalamazoo, MI
  • NPI 1639308687
  NPD (past)
• John F. Labaza, O. D.

  • Optometrist
  • Lapeer, MI
  • NPI 1730239492
  NPD (past)

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1194966705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072093",
            "telephone_number": "810-743-2830",
            "fax_number": "810-743-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072093",
            "telephone_number": "810-743-2830",
            "fax_number": "810-743-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDIS VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "810-743-2830"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cherie Lamoreaux, MSN, RN, AGACNP-BC
• Cindy L Lancaster
• Stephen Roy Lancaster, MA LLPC,QMRP
• Aleksis Nichole Landers
• Nichole Leann Landers, PRC
• Jared M Landry, RN
• Erica Lane
• Frederick Lane
• Laura Suzanne Lane, OD
• Shavon Lane, BSHS, CMHP, QMHP, QI

• Technician/Technologist in Flint, MI
• Providers in Flint, MI by specialty
• Technician/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.