Usv Optical Inc.
Organization Active NPI Eyewear Supplier · Birch Run, MI
NPI 1912337635 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1912337635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- USV OPTICAL INC.
- Practice address
- 9515 Birch Run Rd
Birch Run, MI 48415-9613 - Phone
- (989) 624-8033
- Fax
- (989) 624-8042
- NPI assigned
- Nov 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Randi Woerner
- Title
- Professional Relations Manager
- Phone
- (856) 228-1000
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- US Vision Optical Inc
Locations
9515 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist |
237700000X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
9515 Birch Run Rd
Birch Run, MI 48415-9613
Mailing address
1 Harmon Dr
Blackwood, NJ 08012-5103
Phone (856) 228-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578891008 | Other | BILLING NPI |
NPI Registry JSON
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1912337635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARMON DR",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080125103",
"telephone_number": "856-228-1000",
"fax_number": "856-718-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 BIRCH RUN RD",
"city": "BIRCH RUN",
"state": "MI",
"postal_code": "484159613",
"telephone_number": "989-624-8033",
"fax_number": "989-624-8042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USV OPTICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "WOERNER",
"authorized_official_first_name": "RANDI",
"authorized_official_title_or_position": "PROFESSIONAL RELATIONS MANAGER",
"authorized_official_telephone_number": "856-228-1000"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING NPI",
"identifier": "1578891008",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birch Run, MI
- Emily J Thompson
- Kenneth Robert Tiller
- Lauren Paige Tornberg
- Baleigh Ann Turner
- Tabitha J Tyree
- Usv Optical, Inc.
- Erik C. Walker
- Justine Worley
- Stephanie Wright
All providers in Birch Run, MI · Eyewear Supplier in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.