Organization Active NPI

Zenvision

  • Optometrist
  • East Lansing, MI
National Provider Identifier
1336602911
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZENVISION
Doing business as
East Lansing Family Eyecare
Practice address
1905 Abbot Rd Ste 1
East Lansing, MI 48823-8571
Phone
(517) 580-8733
Fax
(517) 337-1854
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Kevin Michael Jacobs, ODNPI 1801840657
Title
Ceo/Owner
Phone
(517) 580-8733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1905 Abbot Rd Ste 1
East Lansing, MI 48823-8571

Mailing address

1905 Abbot Rd Ste 1
East Lansing, MI 48823-8571
Phone (517) 580-8733

Other practice location 1

1905 Abbot Rd Ste 3
East Lansing, MI 48823-8571
Phone (517) 977-1598

Other names 1

  • East Lansing Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201000827 MI Part B Supplier - Clinic/Group Practice 2062826118 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

1905 Abbot Rd
Ste 3
East Lansing, MI 48823
Phone (517) 898-8765

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1336602911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ABBOT RD STE 1",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-580-8733",
            "fax_number": "517-337-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ABBOT RD STE 1",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-580-8733",
            "fax_number": "517-337-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Abbot Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488238571",
            "country_code": "US",
            "telephone_number": "517-977-1598",
            "fax_number": "517-977-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZENVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "517-580-8733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lansing Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.