Organization Active NPI

NHH Vision Group, S.C.

  • Optometrist
  • Kingsford, MI
National Provider Identifier
1407077290
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003162 Issued in MI
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

Updated by the provider on Dec 2, 2008

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.NPI 1689771487
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
38578900MedicaidWI

Other names 1

  • Vision Source Kingsford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000570 MI Part B Supplier - Clinic/Group Practice 2264515089 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsford, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.