Vergos Vision Service Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003310 Issued in MI

Legal business name

VERGOS VISION SERVICE INC

Practice address

3385 S Center Rd
Burton, MI 48519-1457

Phone

(810) 244-3434

Fax

(810) 715-0301

NPI assigned

Jun 6, 2012

Last updated

Jun 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Vergos, ODNPI 1669444840

Title

Owner

Phone

(810) 244-3434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Vergos, OD

  • Optometrist
  • Burton, MI
  • NPI 1669444840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1447511456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457",
            "telephone_number": "810-244-3434",
            "fax_number": "810-715-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457",
            "telephone_number": "810-244-3434",
            "fax_number": "810-715-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERGOS VISION SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "VERGOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-244-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee-Toporek Veal
• Shellby Lynn Veal
• Chaitanya Vemulapalli, M.D
• Vinathi Vemuleti
• Shontasia Verdun
• Nicholas Peter Vergos
• Peter Vergos, OD
• VG's Pharmacy Inc (VG's Pharmacy #4)
• Andrew Victor, MD
• Roger Villarin, PT

• Optometrist in Burton, MI
• Providers in Burton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.