Village Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

L907492 Issued in MI

Legal business name

VILLAGE OPTICAL INC

Practice address

16841 Kercheval PL
Grosse Pointe Park, MI 48230-1553

Phone

(313) 885-5400

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lowe, O.D.NPI 1902934573

Title

Doctor Owner

Phone

(313) 885-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Michael Lowe, O.D.

  • Optometrist
  • Grosse Pointe Park, MI
  • NPI 1902934573

  MI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1295864759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19992 COUNTRY CLUB DR",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251622",
            "telephone_number": "313-885-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 KERCHEVAL PL",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301553",
            "telephone_number": "313-885-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "313-885-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L907492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900H241570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Connections Counseling Services, PLLC
• Robin Sam Thomas, MD
• Deimoni Meaeija Tinsley
• William R. Tuuri, M.D.
• Victor Bloom, M.D., P.C.
• Caprece Vintevoghel, RN
• Tammy Wagstaff, LPC, NCC
• Elizabeth A Walsh-Sahutske, LPC
• Birgete Webb, MD
• Kellie Wendzinski, DO

• All providers in Grosse Pointe Park, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.