Organization Active NPI

Envision Eye Care PLLC

  • Eyewear Supplier
  • Saginaw, MI
National Provider Identifier
1700310430
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4301075068 Issued in MI
Legal business name
ENVISION EYE CARE PLLC
Practice address
5310 Hampton PL
Suite 2
Saginaw, MI 48604-8202
Phone
(989) 799-2020
Fax
(989) 799-8700
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. David Brooke Krebs, M.D.NPI 1801889662
Title
Member/Owner
Phone
(989) 799-2020

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4301075068 MI Primary

Addresses

Primary practice location

5310 Hampton PL
Suite 2
Saginaw, MI 48604-8202

Mailing address

5310 Hampton PL
Suite 2
Saginaw, MI 48604-8202
Phone (989) 799-2020

National Provider Directory

National Provider Directory
Tax ID family
Envision Eye Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1700310430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HAMPTON PL",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048202",
            "telephone_number": "989-799-2020",
            "fax_number": "989-799-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HAMPTON PL",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048202",
            "telephone_number": "989-799-2020",
            "fax_number": "989-799-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "989-799-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4301075068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.