SVS Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SVS VISION INC

Practice address

1829 Marketplace Dr SE
Caledonia, MI 49316-8506

Phone

(616) 541-2111

Fax

(616) 554-7784

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert G Farrell, OD

Title

Owner/Ceo

Phone

(586) 468-7370

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SVS VISION 24 Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Angelo Carmelo Benvenuto Jr., O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1336589464
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1295860096",
    "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": "1829 MARKETPLACE DR SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168506",
            "telephone_number": "616-541-2111",
            "fax_number": "616-554-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVS VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "586-468-7370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4737830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVS VISION 24",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SVS VISION 24",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Stinton
• Brittany Lane Storms, LLPC
• Rebecca Stout, LMSW
• Georgiana Stowie, CPM
• Janelle Stutzman, MD
• Jennifer Lynn Swanlund, SA-C
• Mitchell Sydloski, M.D.
• Alan J Szagesh, DC
• Theresa Tanis
• Pam N Taylor

• Optometrist in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Optometrist in Michigan

• 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.

Verify at the official NPI Registry.