NPIMap

Organization Active NPI

Visual Performance Center PLLC

  • Optometrist
  • Saint Joseph, MI
National Provider Identifier
1417622804
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISUAL PERFORMANCE CENTER PLLC
Practice address
3916 Stonegate Park Unit B
Saint Joseph, MI 49085-9144
Phone
(269) 408-8719
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Geoffrey HeddleNPI 1285788745
Title
OD/Owner
Phone
(269) 408-8719

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 Primary

Addresses

Primary practice location

3916 Stonegate Park Unit B
Saint Joseph, MI 49085-9144

Mailing address

3916 Stonegate Park Unit B
Saint Joseph, MI 49085-9144

National Provider Directory

National Provider Directory

Locations

3916 Stonegate Park
Unit B
Saint Joseph, MI 49085
Phone (269) 408-8719

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": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1417622804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 STONEGATE PARK UNIT B",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 STONEGATE PARK UNIT B",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859144",
            "telephone_number": "269-408-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL PERFORMANCE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "HEDDLE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "269-408-8719"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.