Active NPI
Vision Center PC
- Optometrist
- Saint Joseph, MI
National Provider Identifier
1811018120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISION CENTER PC
- Doing business as
- Robert L FLood OD PC
- Practice address
- 2603 Niles Ave
Suite a
Saint Joseph, MI 49085-1954 - Phone
- (269) 408-8762
- Fax
- (269) 408-8764
- NPI assigned
- Apr 3, 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
- Dr. Robert Flood, O.D.
- Title
- Owner
- Phone
- (269) 408-8762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2603 Niles Ave
Suite a
Saint Joseph, MI 49085-1954
Mailing address
2603 Niles Ave
Suite a
Saint Joseph, MI 49085-1954
Phone (269) 408-8762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264260001 | Other | MI | MEDICARE DME |
Other names 1
- Robert L FLood OD PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1380 E Napier Ave
Ste 1
Benton Harbor, MI 49022
Phone (269) 926-7277
2603 Niles Ave
Ste A
Saint Joseph, MI 49085
Phone (269) 408-8762
2603 Niles Ave
Saint Joseph, MI 49085
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Saint Joseph, MI
- NPI 1417499823
-
- Optometrist
- Saint Joseph, MI
- NPI 1831889930
-
- Optometrist
- Sparta, MI
- NPI 1326128810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349222400000",
"number": "1811018120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 NILES AVE",
"address_2": "SUITE A",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851954",
"telephone_number": "269-408-8762",
"fax_number": "269-408-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 NILES AVE",
"address_2": "SUITE A",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851954",
"telephone_number": "269-408-8762",
"fax_number": "269-408-8764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2012-10-03",
"status": "A",
"authorized_official_last_name": "FLOOD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-408-8762",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "0264260001",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert L FLood OD PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.