NPIMap

Organization Active NPI

Low Vision Associates, P.C.

  • Optometrist
  • Bingham Farms, MI
National Provider Identifier
1831293414
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOW VISION ASSOCIATES, P.C.
Practice address
31350 Telegraph Rd
Suite 102
Bingham Farms, MI 48025-4366
Phone
(248) 593-3670
Fax
(248) 593-4705
NPI assigned
Sep 12, 2006
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Susan Raznik Gormezano, ODNPI 1881797322
Title
Director Low Vision Assoc PC
Phone
(248) 593-3670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

31350 Telegraph Rd
Suite 102
Bingham Farms, MI 48025-4366

Mailing address

31350 Telegraph Rd
Suite 102
Bingham Farms, MI 48025-4366
Phone (248) 593-3670

National Provider Directory

National Provider Directory

Locations

31350 Telegraph Rd
Ste 102
Bingham Farms, MI 48025
Phone (248) 593-3670

26771 W 12 Mile Rd
Ste 102
Southfield, MI 48034
Phone (248) 354-2122

Practitioners & affiliated clinicians

Practitioners 5

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1831293414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-593-3670",
            "fax_number": "248-593-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-593-3670",
            "fax_number": "248-593-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW VISION ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GORMEZANO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RAZNIK",
        "authorized_official_title_or_position": "DIRECTOR LOW VISION ASSOC PC",
        "authorized_official_telephone_number": "248-593-3670",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.