Active NPI
2020 Family Vision LLC
- Optometrist
- Madison Heights, MI
National Provider Identifier
1295147122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2014
- 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
- Dr. Tiffany Zair, O.D.
- Title
- Member
- Phone
- (248) 310-8465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI6328 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI 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.