NPIMap

Organization Active NPI

Ann Arbor Vision Therapy

  • Vision Therapy Optometrist
  • Ann Arbor, MI
National Provider Identifier
1609132224
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
490104033 Issued in MI
Legal business name
ANN ARBOR VISION THERAPY
Practice address
2433 Oak Valley Dr
Suite 100B
Ann Arbor, MI 48103-7602
Phone
(734) 926-0390
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ANN ARBOR OPTOMETRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Jennifer M Sortor, ODNPI 1578555884
Title
Member/Manager
Phone
(734) 926-0390

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
Vision Therapy Optometrist 152WV0400X 490104033 MI Primary

Addresses

Primary practice location

2433 Oak Valley Dr
Suite 100B
Ann Arbor, MI 48103-7602

Mailing address

2433 Oak Valley Dr
Suite 100B
Ann Arbor, MI 48103-7602
Phone (734) 926-0390

National Provider Directory

National Provider Directory
Tax ID family
Ann Arbor Optometry PLLC2 organizations share this tax ID, including this one
Part of
Ann Arbor Optometry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2433 Oak Valley Dr
Ste 100B
Ann Arbor, MI 48103
Phone (734) 926-0390

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1609132224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 OAK VALLEY DR",
            "address_2": "SUITE 100B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037602",
            "telephone_number": "734-926-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 OAK VALLEY DR",
            "address_2": "SUITE 100B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037602",
            "telephone_number": "734-926-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR VISION THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANN ARBOR OPTOMETRY",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "SORTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "734-926-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "490104033",
            "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 Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.