NPIMap

Organization Active NPI

Wyoming Family Vision Care PLLC

  • Optometrist
  • Wyoming, MI
National Provider Identifier
1922206531
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002687 Issued in MI
Legal business name
WYOMING FAMILY VISION CARE PLLC
Practice address
1391 36TH St SW
Wyoming, MI 49509-3417
Phone
(616) 538-5420
Fax
(616) 538-7288
NPI assigned
Jul 5, 2007
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Dr. Richard J Choryan, O.D.
Title
Owner
Phone
(616) 538-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002687 MI Primary

Addresses

Primary practice location

1391 36TH St SW
Wyoming, MI 49509-3417

Mailing address

1391 36TH St SW
Wyoming, MI 49509-3417
Phone (616) 538-5420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1922206531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093417",
            "telephone_number": "616-538-5420",
            "fax_number": "616-538-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093417",
            "telephone_number": "616-538-5420",
            "fax_number": "616-538-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING FAMILY VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "CHORYAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-538-5420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.