Organization Active NPI

Owosso Family Optometry Center PC

  • Optometrist
  • Owosso, MI
National Provider Identifier
1396929527
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2016491 Issued in MI
Legal business name
OWOSSO FAMILY OPTOMETRY CENTER PC
Practice address
311 E Main St
Owosso, MI 48867-3136
Phone
(989) 725-2311
Fax
(989) 725-6055
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Walter J Lasovage, O.D.
Title
Owner
Phone
(989) 725-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2016491 MI Primary

Addresses

Primary practice location

311 E Main St
Owosso, MI 48867-3136

Mailing address

311 E Main St
Owosso, MI 48867-3136
Phone (989) 725-2311

Other names 1

  • Owosso Family Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

311 E Main St
Owosso, MI 48867
Phone (517) 725-2311

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1396929527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673136",
            "telephone_number": "989-725-2311",
            "fax_number": "989-725-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673136",
            "telephone_number": "989-725-2311",
            "fax_number": "989-725-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOSSO FAMILY OPTOMETRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "LASOVAGE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-725-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "2016491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owosso Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.