Douglas Family Vision, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004056 Issued in MI

Legal business name

DOUGLAS FAMILY VISION, P.C.

Practice address

5025 Shattuck Rd
Saginaw, MI 48603-2823

Phone

(989) 752-7121

Fax

(989) 752-6918

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph K Douglas, O.D.NPI 1114935426

Title

Owner

Phone

(989) 752-7121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph K Douglas, O.D.

  • Optometrist
  • Saginaw, MI
  • NPI 1114935426
  Medicare reassignment Care Compare group NPD Authorized official
• Karen Joyner Douglas, O.D.

  • Optometrist
  • Saginaw, MI
  • NPI 1669583258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1871699314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032823",
            "telephone_number": "989-752-7121",
            "fax_number": "989-752-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032823",
            "telephone_number": "989-752-7121",
            "fax_number": "989-752-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS FAMILY VISION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-752-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4338380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Michael Dorzok, CTRS
• Rajvi Doshi
• David Dean Dospoy, D.D.S.
• Kherrington Sarai Dottery
• Lahib Douda, MD
• Harriet Douglas
• Joseph K Douglas, O.D.
• Karen Joyner Douglas, O.D.
• Synthia Dove
• Tannath Dowell

• Optometrist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.