Active NPI
SVS Vision Inc
- Optometrist
- Southgate, MI
National Provider Identifier
1285102368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SVS VISION INC
- Practice address
- 16256 Fort St
Southgate, MI 48195 - Phone
- (734) 225-9500
- Fax
- (734) 758-7880
- NPI assigned
- Nov 7, 2018
- Last updated
- Jun 28, 2023
- 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
- Jill Freshney
- Title
- Professional Services Manager
- Phone
- (586) 464-1479
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
16256 Fort St
Southgate, MI 48195
Mailing address
118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 464-1479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090427000507 | MI | Part B Supplier - Clinic/Group Practice | 9931257110 |
Receives reassigned benefits from 109 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- SVS Vision Inc
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Marysville, MI
- NPI 1003941055
-
- Optometrist
- Madison Heights, MI
- NPI 1114344918
-
- Optometrist
- Saint Clair Shores, MI
- NPI 1164557146
-
- Optometrist
- Lansing, MI
- NPI 1174658066
-
- Optometrist
- Grosse Pointe Woods, MI
- NPI 1235264722
-
- Optometrist
- Waterford, MI
- NPI 1285769240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1285102368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CASS AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432204",
"telephone_number": "586-464-1479",
"fax_number": "586-464-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16256 FORT ST",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "48195",
"telephone_number": "734-225-9500",
"fax_number": "734-758-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SVS VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-07",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "FRESHNEY",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PROFESSIONAL SERVICES MANAGER",
"authorized_official_telephone_number": "586-464-1479"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.