Center Visions Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003848 Issued in MI

Legal business name

CENTER VISIONS OPTICAL

Practice address

2544 Orchard Lake Rd
Sylvan Lake, MI 48320-1536

Phone

(248) 682-6448

Fax

(248) 682-3398

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Victoria Wolak, OD

Title

Optometrist

Phone

(248) 682-6448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295861789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201536",
            "telephone_number": "248-682-6448",
            "fax_number": "248-682-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201536",
            "telephone_number": "248-682-6448",
            "fax_number": "248-682-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER VISIONS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLAK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "248-682-6448",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Nurul Amin, MD
• Sneha Bency
• Anthony Arlo Bennett, MD
• Inger Blair
• Clarity Visions, PLLC
• Aisha Cunningham
• Deaf Community Advocacy Network, Inc.
• Kristen M. Delange, MS, LPC, NCC, CAADC
• Carol Jane Diskin, MSW

• All providers in Sylvan Lake, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.