Acuvision Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

286 Issued in AZ

Legal business name

ACUVISION INC.

Doing business as

Lakeshore Optical

Practice address

1726 E Southern Ave
Suite 6
Tempe, AZ 85282-5686

Phone

(480) 839-3711

Fax

(480) 456-3359

NPI assigned

Nov 29, 2007

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Sisson BuschNPI 1932380193

Title

President

Phone

(480) 839-3711

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Optical Doing business as

Locations

Practitioners 1

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.

• Robert Sisson Busch

  • Optician
  • Tempe, AZ
  • NPI 1932380193
  NPD (past) Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1871775973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 E SOUTHERN AVE",
            "address_2": "SUITE 6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825686",
            "telephone_number": "480-839-3711",
            "fax_number": "480-456-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 E SOUTHERN AVE",
            "address_2": "SUITE 6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825686",
            "telephone_number": "480-839-3711",
            "fax_number": "480-456-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUVISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SISSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-839-3711"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.