Organization Active NPI

Schaff Vision Care, LLC

  • Optometrist
  • Jackson, MI
National Provider Identifier
1861509739
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002927 Issued in MI
Legal business name
SCHAFF VISION CARE, LLC
Practice address
1617 N West Ave
Jackson, MI 49202-2030
Phone
(517) 787-7900
Fax
(517) 787-8462
NPI assigned
Aug 24, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dawn M Platt
Title
Billing Manager
Phone
(517) 787-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002927 MI Primary

Addresses

Primary practice location

1617 N West Ave
Jackson, MI 49202-2030

Mailing address

1617 N West Ave
Jackson, MI 49202-2030
Phone (517) 787-7900

Other names 1

  • Vision Care Plus Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000023 MI Part B Supplier - Clinic/Group Practice 3072581966 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1861509739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022030",
            "telephone_number": "517-787-7900",
            "fax_number": "517-787-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022030",
            "telephone_number": "517-787-7900",
            "fax_number": "517-787-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAFF VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-787-7900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Plus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.

Verify at the official NPI Registry.