Organization Active NPI

Northville Vision Clinic PC

  • Optometrist
  • Northville, MI
National Provider Identifier
1215136353
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHVILLE VISION CLINIC PC
Practice address
42000 6 Mile Rd Ste 200
Northville, MI 48168-4379
Phone
(248) 348-1330
Fax
(248) 348-7107
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Authorized official

Name
Dr. Todd Adelson, D.O.NPI 1124088075
Title
President
Phone
(248) 348-1330

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 Primary

Addresses

Primary practice location

42000 6 Mile Rd Ste 200
Northville, MI 48168-4379

Mailing address

42000 6 Mile Rd Ste 200
Northville, MI 48168-4379
Phone (248) 348-1330

National Provider Directory

National Provider Directory

Locations

40053 8 Mile Rd
Ste 100
Northville, MI 48167
Phone (248) 348-1330

42000 6 Mile Rd
Ste 200
Northville, MI 48168
Phone (248) 348-1330

40053 8 Mile Rd
Northville, MI 48167
Phone (248) 449-9292

Practitioners & affiliated clinicians

Practitioners 2

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670025600000",
    "number": "1215136353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD STE 200",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684379",
            "telephone_number": "248-348-1330",
            "fax_number": "248-348-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD STE 200",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684379",
            "telephone_number": "248-348-1330",
            "fax_number": "248-348-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVILLE VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "ADELSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-348-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; 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.