NPIMap

Organization Active NPI

SVS Vision Inc

Doing business as SVS Vision Optical Centers

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1649930496
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SVS VISION INC
Doing business as
SVS Vision Optical Centers
Practice address
2107 E Beltline Ave NE Ste D-E
Grand Rapids, MI 49525-9779
Phone
(616) 320-3690
Fax
(616) 366-9065
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Jill Freshney
Title
Credentialing Manager
Phone
(586) 464-1479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

2107 E Beltline Ave NE Ste D-E
Grand Rapids, MI 49525-9779

Mailing address

118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7370

Other identifiers 1

IdentifierTypeStateIssuer
1194879023MedicaidMI

Other names 1

  • SVS Vision Optical Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SVS Vision Inc64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2107 E Beltline Ave NE
Ste De
Grand Rapids, MI 49525
Phone (616) 320-3690

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1649930496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432204",
            "telephone_number": "586-468-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 E BELTLINE AVE NE STE D-E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259779",
            "telephone_number": "616-320-3690",
            "fax_number": "616-366-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVS VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "FRESHNEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "586-464-1479"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194879023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVS Vision Optical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.