NPIMap

Organization Active NPI

Staniszewski-Pasqua LLC

Doing business as New Vision Optical

  • Optometrist
  • Gaylord, MI
National Provider Identifier
1780820423
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STANISZEWSKI-PASQUA LLC
Doing business as
New Vision Optical
Practice address
927 S Otsego Ave
Gaylord, MI 49735-1783
Phone
(989) 732-7518
Fax
(989) 732-4205
NPI assigned
Dec 31, 2008
Last updated
Dec 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STANISZEWSKI-PASQUA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Lois J Staniszewski
Title
Executive Director
Phone
(989) 724-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

927 S Otsego Ave
Gaylord, MI 49735-1783

Mailing address

927 S Otsego Ave
P.O. Box 421
Gaylord, MI 49735-1783
Phone (989) 732-7518

Other names 1

  • New Vision Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staniszewski-Pasqua LLC4 organizations share this tax ID, including this one
Part of
Staniszewski-Pasqua LLC

Other organizations with this tax ID 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1780820423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S OTSEGO AVE",
            "address_2": "P.O. BOX 421",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351783",
            "telephone_number": "989-732-7518",
            "fax_number": "989-732-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351783",
            "telephone_number": "989-732-7518",
            "fax_number": "989-732-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISZEWSKI-PASQUA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANISZEWSKI-PASQUA LLC",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "STANISZEWSKI",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-724-7440"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.