Active NPI
Chris Hall, O.D.
- Optometrist
- Flint, MI
National Provider Identifier
1669482394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MI002793
- Practice address
- G3548 Flushing Rd
Flint, MI 48504-4255 - Phone
- (810) 733-2020
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MI002793 | MI | Primary |
Addresses
Primary practice location
G3548 Flushing Rd
Flint, MI 48504-4255
Mailing address
G3548 Flushing Rd
Flint, MI 48504-4255
Phone (810) 733-2020
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VC250023 | Other | MI | MCARE |
| 382337545 | Other | MI | VISION SERVICE PLAN |
| 900B56581 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1011175 | Other | MI | MCLAREN HEALTH PLAN |
| 1709401 | Medicaid | MI | |
| 204947 | Other | MI | TOTAL HEALTH CARE |
| MI02793 | Other | MI | VISION BENEFITS OF AMERIC |
| MI2793 | Other | MI | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI002793 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669482394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3548 FLUSHING RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485044255",
"telephone_number": "810-733-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3548 FLUSHING RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485044255",
"telephone_number": "810-733-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CHRIS",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "MI002793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "VC250023",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "382337545",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "900B56581",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1011175",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1709401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CARE",
"identifier": "204947",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "MI02793",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MI2793",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.