Organization Active NPI

2020 Family Vision LLC

  • Optometrist
  • Madison Heights, MI
National Provider Identifier
1295147122
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
2020 FAMILY VISION LLC
Practice address
12 E 14 Mile Rd
Madison Heights, MI 48071-1301
Phone
(248) 591-4147
Fax
(248) 850-7146
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Tiffany Zair, O.D.
Title
Member
Phone
(248) 310-8465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MI Primary

Addresses

Primary practice location

12 E 14 Mile Rd
Madison Heights, MI 48071-1301

Mailing address

30057 Orchard Lake Rd Ste 150
Farmington Hills, MI 48334-2264
Phone (248) 626-3200

Other identifiers 1

IdentifierTypeStateIssuer
MI6328MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1295147122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30057 ORCHARD LAKE RD STE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342264",
            "telephone_number": "248-626-3200",
            "fax_number": "248-626-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 14 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711301",
            "telephone_number": "248-591-4147",
            "fax_number": "248-850-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 FAMILY VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "ZAIR",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-310-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI6328",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.