Primary Eye and Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004635 Issued in MI

Legal business name

PRIMARY EYE AND VISION CARE, LLC

Practice address

1191 Byron Rd
Howell, MI 48843-1005

Phone

(517) 546-4655

Fax

(517) 546-0899

NPI assigned

Jul 12, 2011

Last updated

Nov 20, 2012By 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

Dr. Joseph Samuel Conrad, OD, MSNPI 1831486935

Title

Ceo

Phone

(863) 368-0502

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 18

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.

• Joseph Samuel Conrad, OD, MS

  • Optometrist
  • Howell, MI
  • NPI 1831486935
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Alperin, OD

  • Optometrist
  • Berkley, MI
  • NPI 1134486269
  Medicare reassignment Care Compare group NPD
• Jeremy Dreslinski, O.D.

  • Optometrist
  • Howell, MI
  • NPI 1104113208
  Medicare reassignment Care Compare group NPD
• Leah Hall, OD

  • Optometrist
  • Howell, MI
  • NPI 1033783386
  Medicare reassignment Care Compare group NPD
• Zeinab Houjaij, OD

  • Optometrist
  • Taylor, MI
  • NPI 1477122976
  Medicare reassignment Care Compare group NPD
• Danielle Renae Lefevre, OD

  • Optometrist
  • Dewitt, MI
  • NPI 1821525973
  Medicare reassignment Care Compare group NPD
• Nilam Rakesh Trivedi, OD

  • Optometrist
  • Westland, MI
  • NPI 1649838616
  Medicare reassignment Care Compare group NPD
• Daniel Joseph Vargovick, O.D.

  • Optometrist
  • Farmington, MI
  • NPI 1295707222
  Medicare reassignment Care Compare group NPD
• Jana Marie Fisher, O.D.

  • Optometrist
  • Dewitt, MI
  • NPI 1013091438
  Medicare reassignment Care Compare group
• Farah Hamade, OD

  • Optometrist
  • Farmington, MI
  • NPI 1164045159
  Medicare reassignment NPD
• Kevin Semma, OD

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1396272555
  Medicare reassignment NPD
• Thomas John Doyle, O.D.

  • Optometrist
  • Dewitt, MI
  • NPI 1336214253
  Medicare reassignment

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1902194970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431005",
            "telephone_number": "517-546-4655",
            "fax_number": "517-546-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431005",
            "telephone_number": "517-546-4655",
            "fax_number": "517-546-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYE AND VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-368-0502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1902194970",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MI4786",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Steps Inc.
• Angelo Carl Powell, BSW
• Stephanie Renee Powell, D.C.
• Chelsea Lou Preston
• William Scott Preston, LLMSW
• Amber Nicole Prise
• Pro-Motion Physical Therapy of Howell, PC
• Cassandra Progar
• Jacquelyn Marie Provenzola, LMSW
• Elijah Prutow

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.