Family Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2522 Issued in WI

Legal business name

FAMILY VISION CENTER INC

Doing business as

Susan L Orvis OD

Practice address

W63 N543B Hanover Avenue
Cedarburg, WI 53012-0826

Phone

(262) 377-3937

Fax

(262) 377-3948

NPI assigned

Jan 31, 2006

Organization subpart

No

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

Authorized official

Name

Susan L Orvis, ODNPI 1629255344

Title

Optometrist Owner

Phone

(262) 377-3937

Specialties & licenses 1

Addresses

Other names 1

• Susan L Orvis OD Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Orvis, O.D.

  • Optometrist
  • Cedarburg, WI
  • NPI 1629255344
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1487625067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530120826",
            "telephone_number": "262-377-3937",
            "fax_number": "262-377-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W63 N543B HANOVER AVENUE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530120826",
            "telephone_number": "262-377-3937",
            "fax_number": "262-377-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "ORVIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "262-377-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan L Orvis OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Marie Etzelmueller, P.T.
• Evergreen Chiropractic SC
• Evergreen Counseling, LLC
• Extendicare Homes, Inc. (Cedar Springs Health & Rehabilitation Center)
• Fairway Medical LLC
• Brianne Fechter
• Mary Ellen Fitts, MSW
• Five Corners Physical Therapy S.C.
• Emma Flottemesch
• FMG Lincoln Boulevard Wisconsin LLC (Cedar Springs Health and Rehabilitation Center)

• Optometrist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.