Active NPI
Livingston County Vision Center
Doing business as Eye Care One of Livingston County
- Optometrist
- Howell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004200
- Legal business name
- LIVINGSTON COUNTY VISION CENTER
- Doing business as
- Eye Care One of Livingston County
- Practice address
- 2674 E Grand River Ave
Howell, MI 48843-8544 - Phone
- (517) 546-9242
- Fax
- (517) 546-7840
- NPI assigned
- Feb 19, 2008
- Last updated
- May 7, 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. Chad Robert Nixon, O.D.
- Title
- President/Owner
- Phone
- (517) 546-9242
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004200 | MI | Primary |
Addresses
Primary practice location
2674 E Grand River Ave
Howell, MI 48843-8544
Mailing address
2674 E Grand River Ave
Howell, MI 48843-8544
Phone (517) 546-9242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4901004200 | Other | MI | STATE LICENSE NUMBER |
| 900D710770 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4787760 TYPE 94 | Medicaid | MI |
Other names 1
- Eye Care One of Livingston County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2674 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9242
Practitioners & affiliated clinicians
Practitioners 2
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
- Howell, MI
- NPI 1205936838
-
- Optometrist
- Howell, MI
- NPI 1396894572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1790953248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2674 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438544",
"telephone_number": "517-546-9242",
"fax_number": "517-546-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2674 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438544",
"telephone_number": "517-546-9242",
"fax_number": "517-546-7840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGSTON COUNTY VISION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "NIXON",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "517-546-9242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901004200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4901004200",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "900D710770",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4787760 TYPE 94",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Care One of Livingston County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Howell, MI
- Livingston County Community Mental Health Authority
- Livingston County Dentistry PLLC (Livco. Dentistry)
- Livingston County Orthopedics, PC
- Livingston County Treasurer
- Livingston County Treasurer (Livingston County Health Department)
- Livingston Educational Service Agency
- Livingston Foot and Ankle Institute PLLC
- Livingston Internal Medicine, PC
- Livingston Psychological Services, PLLC (Livingston Psychological Services)
- Lo Optical, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.