Organization Active NPI

Vision Associates of Westland

  • Vision Therapy Optometrist
  • Westland, MI
National Provider Identifier
1932300928
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
4901002809 Issued in MI
Legal business name
VISION ASSOCIATES OF WESTLAND
Practice address
38979 Cherry Hill Rd.
Suite B
Westland, MI 48186
Phone
(734) 326-2160
Fax
(734) 326-9678
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Randy G Houdek, O.D.NPI 1174590285
Title
Optometrist
Phone
(734) 326-2160

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
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 4901002809 MI Primary

Addresses

Primary practice location

38979 Cherry Hill Rd.
Suite B
Westland, MI 48186

Mailing address

38979 Cherry Hill Rd.
Suite B
Westland, MI 48186
Phone (734) 326-2160

Other identifiers 1

IdentifierTypeStateIssuer
900H221100OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507001286 MI Part B Supplier - Clinic/Group Practice 7719976406 Receives reassigned benefits from 2 practitioners
Practice locations: Westland, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2222966Vision Associates of Westland38979 Cherry Hill Suite B, Westland, MI 48186Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Locations

38979 Cherry Hill Rd
Westland, MI 48186
Phone (313) 326-2160

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1932300928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38979 CHERRY HILL RD.",
            "address_2": "SUITE B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48186",
            "telephone_number": "734-326-2160",
            "fax_number": "734-326-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38979 CHERRY HILL RD.",
            "address_2": "SUITE B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48186",
            "telephone_number": "734-326-2160",
            "fax_number": "734-326-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ASSOCIATES OF WESTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "HOUDEK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "734-326-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901002809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900H221100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.