Belleville-Canton Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BELLEVILLE-CANTON OPTOMETRY LLC

Doing business as

VisionPro Eyecare

Practice address

1675 N Canton Center Rd
Canton, MI 48187

Phone

(734) 844-0400

Fax

(734) 844-0403

NPI assigned

Jul 27, 2015

Last updated

Sep 6, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BELLEVILLE-CANTON OPTOMETRY LLCAs reported in NPPES

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

Authorized official

Name

Jodi Lesnick-Quisling

Title

Owner

Phone

(734) 844-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VisionPro Eyecare Doing business as

Part of

Belleville-Canton Opt LLC

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1740665298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872948",
            "telephone_number": "734-844-0400",
            "fax_number": "734-844-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "734-844-0400",
            "fax_number": "734-844-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE-CANTON OPTOMETRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLEVILLE-CANTON OPTOMETRY LLC",
        "enumeration_date": "2015-07-27",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "LESNICK-QUISLING",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-844-0400"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801073119",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionPro Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VisionPro Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Canton, MI
• Providers in Canton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.