Vision Center of Canton PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISION CENTER OF CANTON PC

Practice address

325 N. Lilley Rd.
Canton, MI 48187-3908

Phone

(734) 981-2700

Fax

(734) 981-0198

NPI assigned

Mar 19, 2008

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine A Jack, ODNPI 1477667251

Title

Owner/Optometrist

Phone

(734) 981-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Christine A Jack, OD

  • Optometrist
  • Canton, MI
  • NPI 1477667251
  Medicare reassignment Care Compare group Authorized official
• Cole William Jordan, OD

  • Optometrist
  • Detroit, MI
  • NPI 1851082309
  Medicare reassignment Care Compare group NPD
• Brian Eric Pierce, OD

  • Optometrist
  • Canton, MI
  • NPI 1699830646
  Medicare reassignment Care Compare group
• Tatevik Movsisyan, O.D.

  • Optometrist
  • Birmingham, AL
  • NPI 1720535446

  MI

  Medicare reassignment NPD
• Olivia Michelle Marineau, OD

  • Optometrist
  • Canton, MI
  • NPI 1275159246
  Medicare reassignment

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1609047422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N. LILLEY RD.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873908",
            "telephone_number": "734-981-2700",
            "fax_number": "734-981-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N. LILLEY RD.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873908",
            "telephone_number": "734-981-2700",
            "fax_number": "734-981-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF CANTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "734-981-2700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Faith Victoria, M.D.
• Jerry Sherwin Vidis, RPH, MS
• Village Start Mihp
• Village Wellness Center PLLC (VWC)
• Michael James Visconti, DO
• Vision Without Limits LLC
• Visionworks, Inc. (Visionworks)
• Vital Flow Wellness and Chiropractic Centers PLLC (Brackney Chiropractic Health Center)
• Cindy Diane Vitale
• VLP Can LLC

• Eyewear Supplier in Canton, MI
• Providers in Canton, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.