Organization Active NPI

Vision Plus Inc.

  • Optometrist
  • South Lyon, MI
National Provider Identifier
1285752303
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PK3203 Issued in MI
Legal business name
VISION PLUS INC.
Practice address
22371 Pontiac TRL
South Lyon, MI 48178-1658
Phone
(248) 437-7600
Fax
(248) 437-0143
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Philip Kontry, O.D.
Title
Optometrist
Phone
(248) 437-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X PK3203 MI Primary

Addresses

Primary practice location

22371 Pontiac TRL
South Lyon, MI 48178-1658

Mailing address

22371 Pontiac TRL
South Lyon, MI 48178-1658
Phone (248) 437-7600

Other names 1

  • First Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930071145 MI DME Supplier - Physician - Optometrist 0840376059 Practice locations: South Lyon, MI

National Provider Directory

National Provider Directory

Locations

22371 Pontiac Trl
South Lyon, MI 48178
Phone (248) 437-7600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1285752303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22371 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781658",
            "telephone_number": "248-437-7600",
            "fax_number": "248-437-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22371 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781658",
            "telephone_number": "248-437-7600",
            "fax_number": "248-437-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "KONTRY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "248-437-7600",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "PK3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.

Verify at the official NPI Registry.