Organization Active NPI

Valley Eye Care P.C.

  • Ophthalmology Physician
  • Bay City, MI
National Provider Identifier
1912194754
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
SV077914 Issued in MI
Legal business name
VALLEY EYE CARE P.C.
Practice address
900 Center Ave
Lower Level
Bay City, MI 48708-6118
Phone
(989) 892-6616
Fax
(989) 892-6651
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Dr. Scott M Vandenbelt, M.D.
Title
Physician
Phone
(989) 892-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X SV077914 MI Primary

Addresses

Primary practice location

900 Center Ave
Lower Level
Bay City, MI 48708-6118

Mailing address

900 Center Ave
Lower Level
Bay City, MI 48708-6118
Phone (989) 892-6616

Other identifiers 2

IdentifierTypeStateIssuer
SV077914OtherMIBCBSM
4764579MedicaidMI

National Provider Directory

National Provider Directory

Locations

800 Woodside Ave
Bay City, MI 48708
Phone (989) 892-6616

900 Center Ave
Bay City, MI 48708
Phone (989) 778-0127

900 Center Ave
Lowr
Bay City, MI 48708
Phone (989) 892-6616

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1912194754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CENTER AVE",
            "address_2": "LOWER LEVEL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086118",
            "telephone_number": "989-892-6616",
            "fax_number": "989-892-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTER AVE",
            "address_2": "LOWER LEVEL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086118",
            "telephone_number": "989-892-6616",
            "fax_number": "989-892-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "VANDENBELT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-892-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "SV077914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "SV077914",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4764579",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.