Community Vision Centers Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002284 Issued in MI

Legal business name

COMMUNITY VISION CENTERS INC

Practice address

4425 W Main St
Kalamazoo, MI 49006-2648

Phone

(269) 345-4425

Fax

(269) 345-4435

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. August Andre Krymis Jr., O.D.

Title

Owner

Phone

(269) 345-4425

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• August Optical Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1255466546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062648",
            "telephone_number": "269-345-4425",
            "fax_number": "269-345-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062648",
            "telephone_number": "269-345-4425",
            "fax_number": "269-345-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "KRYMIS",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-345-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5052968",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "August Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.