Agape Vision Associates P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003700 Issued in MI

Legal business name

AGAPE VISION ASSOCIATES P.C.

Practice address

24300 Southfield Rd Ste 216
Southfield, MI 48075-2859

Phone

(248) 327-6249

NPI assigned

Jun 16, 2006

Last updated

Nov 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Dean Grandison, O.D.

Title

Optometrist

Phone

(248) 327-6249

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1205870532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24300 SOUTHFIELD RD STE 216",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752859",
            "telephone_number": "248-327-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 SOUTHFIELD RD STE 216",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752859",
            "telephone_number": "248-327-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE VISION ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "GRANDISON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "248-327-6249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Southfield, MI
• Providers in Southfield, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.