Active NPI
Deltavision Optical
- Eyewear Supplier
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4901003607
- Legal business name
- DELTAVISION OPTICAL
- Practice address
- 934 Elmwood Rd
Lansing, MI 48917-2070 - Phone
- (517) 886-0222
- NPI assigned
- Dec 20, 2007
- Last updated
- Dec 20, 2007
- 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
- Gregory Popowitz, OD
- Title
- Owner
- Phone
- (517) 886-0222
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 |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 4901003607 | MI | Primary |
Addresses
Primary practice location
934 Elmwood Rd
Lansing, MI 48917-2070
Mailing address
934 Elmwood Rd
Lansing, MI 48917-2070
Phone (517) 886-0222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000002542 | Other | MI | PHYSICIANS HEALTH PLAN |
| 203456 | Medicaid | MI | |
| 2270055 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Deltavision Optical
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, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Lansing, MI
- NPI 1336325414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1720262215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 ELMWOOD RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489172070",
"telephone_number": "517-886-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 ELMWOOD RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489172070",
"telephone_number": "517-886-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTAVISION OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "POPOWITZ",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-886-0222",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MI",
"license": "4901003607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "200000002542",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203456",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2270055",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.