NPIMap

Organization Active NPI

Ann Arbor Vision Care, PC

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1598514309
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANN ARBOR VISION CARE, PC
Practice address
955 W Eisenhower Cir Ste F
Ann Arbor, MI 48103-5868
Phone
(734) 332-8840
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Parker Steven Johnson, ODNPI 1114544947
Title
President
Phone
(734) 332-8840

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

955 W Eisenhower Cir Ste F
Ann Arbor, MI 48103-5868

Mailing address

955 W Eisenhower Cir Ste F
Ann Arbor, MI 48103-5868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240614003676 MI Part B Supplier - Clinic/Group Practice 4880137132 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

955 W Eisenhower Cir
Ste F3
Ann Arbor, MI 48103

Practitioners & affiliated clinicians

Practitioners 6

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": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1598514309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W EISENHOWER CIR STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W EISENHOWER CIR STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035868",
            "telephone_number": "734-332-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-332-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.