Active NPI
Soave Eye Care PLLC
- Optometrist
- Traverse City, MI
National Provider Identifier
1689274516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SOAVE EYE CARE PLLC
- Practice address
- 522 S Garfield Ave Ste a
Traverse City, MI 49686-3485 - Phone
- (231) 947-9500
- Fax
- (231) 947-2767
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Soave, OD
- Title
- Owner/Provider
- Phone
- (231) 947-6767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
522 S Garfield Ave Ste a
Traverse City, MI 49686-3485
Mailing address
1040 S Garfield Ave
Traverse City, MI 49686-3434
Phone (231) 947-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
522 S Garfield Ave
Ste A
Traverse City, MI 49686
Phone (231) 947-9500
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Traverse City, MI
- NPI 1629302468
-
- Optometrist
- Gaylord, MI
- NPI 1720439102
-
- Optometrist
- Traverse City, MI
- NPI 1194791244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605830400000",
"number": "1689274516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 S GARFIELD AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863434",
"telephone_number": "231-947-6767",
"fax_number": "231-947-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 S GARFIELD AVE STE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863485",
"telephone_number": "231-947-9500",
"fax_number": "231-947-2767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOAVE EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2020-11-20",
"certification_date": "2020-11-19",
"status": "A",
"authorized_official_last_name": "SOAVE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "231-947-6767",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.