Active NPI
Mobile Vision LLC
- Optometrist
- Jackson, MI
National Provider Identifier
1700200227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3336
- Legal business name
- MOBILE VISION LLC
- Practice address
- 1737 Spring Arbor Rd # 164
Jackson, MI 49203-2701 - Phone
- (517) 740-5814
- NPI assigned
- Feb 5, 2014
- 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
- Dr. Bricker Buseth
- Title
- Optometrist
- Phone
- (517) 740-5814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3336 | MI | Primary |
Addresses
Primary practice location
1737 Spring Arbor Rd # 164
Jackson, MI 49203-2701
Mailing address
1737 Spring Arbor Rd # 164
Jackson, MI 49203-2701
National Provider Directory
National Provider DirectoryLocations
1737 Spring Arbor Rd
Jackson, MI 49203
1737 Spring Arbor Rd
#164
Jackson, MI 49203
Phone (517) 740-5814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395705600000",
"number": "1700200227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 SPRING ARBOR RD # 164",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 SPRING ARBOR RD # 164",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032701",
"telephone_number": "517-740-5814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2014-03-25",
"status": "A",
"authorized_official_last_name": "BUSETH",
"authorized_official_first_name": "BRICKER",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "517-740-5814",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "3336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.