Prange Family Eyecare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRANGE FAMILY EYECARE, LLC

Practice address

2121 Hudson Ave
Suite 105
Kalamazoo, MI 49008-2379

Phone

(269) 345-2916

Fax

(269) 345-5335

NPI assigned

Sep 26, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Thea L Travis

Title

Vice-President

Phone

(269) 372-0075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1295922094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HUDSON AVE",
            "address_2": "SUITE 105",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082379",
            "telephone_number": "269-345-2916",
            "fax_number": "269-345-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HUDSON AVE",
            "address_2": "SUITE 105",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082379",
            "telephone_number": "269-345-2916",
            "fax_number": "269-345-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANGE FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "THEA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "269-372-0075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Powell, MD
• Kimberly Anne Powers, MA. LLPC
• Dennis Powless
• Erin Jolie Praedel, LPC
• Clementine Niyonizeye Praise
• Harold T. Prange, O.D.
• Joseph Prano, D.O.
• Prater Chiropractic Wellness Center Inc
• Daryl R Prater, DC
• Heather Prater, OD

• Durable Medical Equipment & Medical Supplies in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.