Organization Active NPI

Ypsilanti Vision PC

  • Optometrist
  • Ypsilanti, MI
National Provider Identifier
1558732560
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YPSILANTI VISION PC
Practice address
1769 Washtenaw Rd
Ypsilanti, MI 48197-2020
Phone
(734) 483-2100
Fax
(734) 483-2060
NPI assigned
Oct 16, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Tiffany K Zair, ODNPI 1679887814
Title
Owner
Phone
(734) 483-2100

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 MI Primary

Addresses

Primary practice location

1769 Washtenaw Rd
Ypsilanti, MI 48197-2020

Mailing address

1769 Washtenaw Rd
Ypsilanti, MI 48197-2020
Phone (734) 483-2100

Other identifiers 1

IdentifierTypeStateIssuer
1679887814MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151218000751 MI Part B Supplier - Clinic/Group Practice 1355642257 Receives reassigned benefits from 2 practitioners
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1558732560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972020",
            "telephone_number": "734-483-2100",
            "fax_number": "734-483-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972020",
            "telephone_number": "734-483-2100",
            "fax_number": "734-483-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YPSILANTI VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "ZAIR",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-483-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679887814",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.