Active NPI
NHH Vision Group, S.C.
- Optometrist
- Kingsford, MI
National Provider Identifier
1407077290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003162
- Legal business name
- NHH VISION GROUP, S.C.
- Practice address
- 401 Woodward Ave
Kingsford, MI 49802-4630 - Phone
- (906) 774-0611
- Fax
- (906) 774-2796
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson H. Hassell, O.D.
- Title
- President
- Phone
- (906) 774-0611
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003162 | MI | Primary |
Addresses
Primary practice location
401 Woodward Ave
Kingsford, MI 49802-4630
Mailing address
401 Woodward Ave
Kingsford, MI 49802-4630
Phone (906) 774-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38578900 | Medicaid | WI |
Other names 1
- Vision Source Kingsford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
401 Woodward Ave
Kingsford, MI 49802
Phone (906) 774-0611
401 Woodward Ave
Ste 1
Kingsford, MI 49802
Phone (904) 774-0611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Kingsford, MI
- NPI 1689771487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1407077290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WOODWARD AVE",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498024630",
"telephone_number": "906-774-0611",
"fax_number": "906-774-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WOODWARD AVE",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498024630",
"telephone_number": "906-774-0611",
"fax_number": "906-774-2796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHH VISION GROUP, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "HASSELL",
"authorized_official_first_name": "NELSON",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "906-774-0611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901003162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38578900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Source Kingsford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingsford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.