Organization Active NPI

Skiba Vision Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Alpena, MI
National Provider Identifier
1487803201
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
GS003032 Issued in MI
Legal business name
SKIBA VISION CENTER, PLLC
Practice address
174 N Ripley Blvd
Alpena, MI 49707-3402
Phone
(989) 356-9096
Fax
(989) 356-3968
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Beth Skiba
Title
Manager
Phone
(989) 356-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GS003032 MI Primary

Addresses

Primary practice location

174 N Ripley Blvd
Alpena, MI 49707-3402

Mailing address

174 N Ripley Blvd
Alpena, MI 49707-3402
Phone (989) 356-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081104000537 MI Part B Supplier - Clinic/Group Practice 3577622679 Receives reassigned benefits from 3 practitioners
Practice locations: Alpena, MI
O20100930044558 MI DME Supplier - Physician - Optometrist 3577622679 Practice locations: Alpena, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Skiba Vision Center, PLLC174 N Ripley Blvd, Alpena, MI 49707-3402(989) 356-9096 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Nov 1, 2008

National Provider Directory

National Provider Directory

Locations

174 N Ripley Blvd
Alpena, MI 49707
Phone (989) 356-9096

2368 US Highway 23 S
Alpena, MI 49707
Phone (989) 356-9096

Practitioners & affiliated clinicians

Practitioners 3

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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1487803201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 N RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073402",
            "telephone_number": "989-356-9096",
            "fax_number": "989-356-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 N RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073402",
            "telephone_number": "989-356-9096",
            "fax_number": "989-356-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIBA VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "SKIBA",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-356-9096"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "GS003032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.