Organization Active NPI

Metro Vision II,Inc

Doing business as Metro Vision

  • Optician
  • Clinton Township, MI
National Provider Identifier
1689716490
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
METRO VISION II,INC
Doing business as
Metro Vision
Practice address
39087 Garfield Rd
Clinton Township, MI 48038-2789
Phone
(586) 286-7200
Fax
(586) 286-4144
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mr. Michael Joseph Licavoli, ABOC
Title
President
Phone
(586) 286-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

39087 Garfield Rd
Clinton Township, MI 48038-2789

Mailing address

39087 Garfield Rd
Clinton Township, MI 48038-2789
Phone (586) 286-7200

Other names 1

  • Metro Vision Doing business as

National Provider Directory

National Provider Directory

Locations

39087 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-7200

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1689716490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39087 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382789",
            "telephone_number": "586-286-7200",
            "fax_number": "586-286-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39087 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382789",
            "telephone_number": "586-286-7200",
            "fax_number": "586-286-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO VISION II,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "LICAVOLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-286-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.