Organization Active NPI

Vision Associates PC

  • Optometrist
  • Warren, MI
National Provider Identifier
1932267226
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION ASSOCIATES PC
Practice address
28532 Schoenherr Rd
Warren, MI 48088-4329
Phone
(586) 777-0060
Fax
(586) 777-1501
NPI assigned
Dec 5, 2006
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. John Carl Poggiolo Sr., ODNPI 1326150541
Title
Optometrist
Phone
(586) 777-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

28532 Schoenherr Rd
Warren, MI 48088-4329

Mailing address

28532 Schoenherr
Warren, MI 48088
Phone (586) 777-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000824 MI Part B Supplier - Clinic/Group Practice 0648166744 Receives reassigned benefits from 3 practitioners
Practice locations: Warren, MI
O20100930076470 MI DME Supplier - Physician - Optometrist 0648166744 Practice locations: Warren, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vision Associates PC28532 Schoenherr Rd, Warren, MI 48088-4329(586) 777-0060 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory

Locations

28532 Schoenherr Rd
Warren, MI 48088
Phone (586) 777-0060

Practitioners & affiliated clinicians

Practitioners 3

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1932267226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28532 SCHOENHERR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "586-777-0060",
            "fax_number": "586-777-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28532 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884329",
            "telephone_number": "586-777-0060",
            "fax_number": "586-777-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "POGGIOLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "586-777-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.