Active NPI
SVC Inc
- Optometrist
- Troy, MI
National Provider Identifier
1255449849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SVC INC
- Practice address
- 675 E. Big Beaver Road
Suite 211
Troy, MI 48083 - Phone
- (248) 619-9362
- Fax
- (248) 619-9371
- NPI assigned
- Aug 25, 2006
- Last updated
- Jul 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Maria Raymond
- Title
- President
- Phone
- (248) 619-9362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
675 E. Big Beaver Road
Suite 211
Troy, MI 48083
Mailing address
675 E Big Beaver Rd
Suite 211
Troy, MI 48083-1418
Phone (248) 619-9362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864543999 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
100 N Crooks Rd Ste 110a
Ste 110a
Clawson, MI 48017
Phone (248) 435-0390
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Troy, MI
- NPI 1689880395
-
- Optometrist
- Charlevoix, MI
- NPI 1548240260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247443200000",
"number": "1255449849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 E BIG BEAVER RD",
"address_2": "SUITE 211",
"city": "TROY",
"state": "MI",
"postal_code": "480831418",
"telephone_number": "248-619-9362",
"fax_number": "248-619-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 E. BIG BEAVER ROAD",
"address_2": "SUITE 211",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-619-9362",
"fax_number": "248-619-9371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SVC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2009-07-13",
"status": "A",
"authorized_official_last_name": "RAYMOND",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-619-9362"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "864543999",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.