Organization Active NPI

Accelerated Care of Michigan

  • Ophthalmic Assistant
  • Essexville, MI
National Provider Identifier
1265640700
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic AssistantTaxonomy code 156FX1101X
Legal business name
ACCELERATED CARE OF MICHIGAN
Practice address
1003 Woodside Ave
Essexville, MI 48732-1234
Phone
(989) 892-7722
Fax
(989) 892-7455
NPI assigned
May 18, 2007
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. Raymond Watts
Title
President
Phone
(989) 892-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1101X Primary

Addresses

Primary practice location

1003 Woodside Ave
Essexville, MI 48732-1234

Mailing address

6901 Okeechobee Blvd
Box J17
West Palm Beach, FL 33411-2511
Phone (989) 892-7722

National Provider Directory

National Provider Directory

Locations

6901 Okeechobee Blvd
#J17
West Palm Beach, FL 33411

Practitioners & affiliated clinicians

Practitioners 7

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1265640700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD",
            "address_2": "BOX J17",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "989-892-7722",
            "fax_number": "989-892-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WOODSIDE AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321234",
            "telephone_number": "989-892-7722",
            "fax_number": "989-892-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED CARE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-892-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.