NPIMap

Organization Active NPI

Staniszewski-Pasqua LLC

  • Optometrist
  • Owosso, MI
National Provider Identifier
1407092141
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STANISZEWSKI-PASQUA LLC
Practice address
122 N Washington St
Owosso, MI 48867-2827
Phone
(989) 723-8174
Fax
(989) 725-3123
NPI assigned
Dec 31, 2008
Organization subpart
Yes
Parent organization
STANISZEWSKI-PASQUA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Lois J Hibner
Title
Executive Director
Phone
(989) 724-7440

Specialties & licenses 1

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

Addresses

Primary practice location

122 N Washington St
Owosso, MI 48867-2827

Mailing address

122 N Washington St
Owosso, MI 48867-2827
Phone (989) 723-8174

Other names 1

  • New Vision Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staniszewski-Pasqua LLC4 organizations share this tax ID, including this one
Part of
Staniszewski-Pasqua LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 N Main St
Ste 240
Chelsea, MI 48118
Phone (734) 433-5800

Practitioners & affiliated clinicians

Practitioners 5

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": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1407092141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672827",
            "telephone_number": "989-723-8174",
            "fax_number": "989-725-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672827",
            "telephone_number": "989-723-8174",
            "fax_number": "989-725-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISZEWSKI-PASQUA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANISZEWSKI-PASQUA LLC",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "HIBNER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-724-7440"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Optical",
            "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 Dec 31, 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.