Organization Active NPI

Vision Institute of Michigan PC

  • Optician
  • Sterling HTS, MI
National Provider Identifier
1457420598
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VISION INSTITUTE OF MICHIGAN PC
Practice address
44650 Delco Blvd
Sterling HTS, MI 48313-1063
Phone
(586) 254-1770
Fax
(586) 254-3515
NPI assigned
Nov 6, 2006
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Michael Richmond
Title
Ceo
Phone
(583) 254-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

44650 Delco Blvd
Sterling HTS, MI 48313-1063

Mailing address

44650 Delco Blvd
Sterling HTS, MI 48313-1063
Phone (586) 254-1770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930090219 MI DME Supplier - Physician - Ophthalmology 6800781436 Practice locations: Sterling Heights, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Vision Institute of Michigan PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1457420598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44650 DELCO BLVD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483131063",
            "telephone_number": "586-254-1770",
            "fax_number": "586-254-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44650 DELCO BLVD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483131063",
            "telephone_number": "586-254-1770",
            "fax_number": "586-254-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INSTITUTE OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "583-254-1770"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.