Organization Active NPI

Sussex Vision Center

  • Optometrist
  • Coldwater, MI
National Provider Identifier
1386807105
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002544 Issued in MI
Legal business name
SUSSEX VISION CENTER
Practice address
350 Marshall St
Coldwater, MI 49036-1175
Phone
(517) 278-6303
Fax
(517) 279-8000
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Michael L Sussex, OD
Title
Owner President
Phone
(517) 278-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4901002544 MI Primary

Addresses

Primary practice location

350 Marshall St
Coldwater, MI 49036-1175

Mailing address

350 Marshall St
Coldwater, MI 49036-1175
Phone (517) 278-6303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1386807105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361175",
            "telephone_number": "517-278-6303",
            "fax_number": "517-279-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361175",
            "telephone_number": "517-278-6303",
            "fax_number": "517-279-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SUSSEX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "517-278-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.