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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
US Vision Optical Inc (407 organizations share this tax ID)

Locations

9515 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1610

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
1578891008OtherBILLING NPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2023.

{
    "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

All providers in Birch Run, MI · Eyewear Supplier in Michigan

Sources for this page

Verify at the official NPI Registry.