Organization Active NPI

Dakota Laser Vision, PLLC

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1336272921
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAKOTA LASER VISION, PLLC
Practice address
1785 W Stadium Blvd
Suite 102
Ann Arbor, MI 48103-5257
Phone
(734) 926-0196
Fax
(734) 926-0195
NPI assigned
Mar 13, 2007
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Lawrence William Baitch, OD, PHD
Title
President
Phone
(734) 926-0196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1785 W Stadium Blvd
Suite 102
Ann Arbor, MI 48103-5257

Mailing address

1785 W Stadium Blvd
Suite 102
Ann Arbor, MI 48103-5257
Phone (734) 926-0196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1336272921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD",
            "address_2": "SUITE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035257",
            "telephone_number": "734-926-0196",
            "fax_number": "734-926-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD",
            "address_2": "SUITE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035257",
            "telephone_number": "734-926-0196",
            "fax_number": "734-926-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA LASER VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "BAITCH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-926-0196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.