Organization Active NPI

SVC Inc

  • Optometrist
  • Troy, MI
National Provider Identifier
1255449849
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
864543999MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.