Organization Active NPI

Daniel J. Vargovick OD., P.C.

  • Optometrist
  • Farmington, MI
National Provider Identifier
1932376597
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003905 Issued in MI
Legal business name
DANIEL J. VARGOVICK OD., P.C.
Practice address
23342 Farmington Rd
Farmington, MI 48336-3102
Phone
(248) 477-1616
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Daniel J. Vargovick, O.D.
Title
President
Phone
(248) 477-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003905 MI Primary

Addresses

Primary practice location

23342 Farmington Rd
Farmington, MI 48336-3102

Mailing address

23342 Farmington Rd
Farmington, MI 48336-3102
Phone (248) 477-1616

Other identifiers 2

IdentifierTypeStateIssuer
0F38200OtherMIBCBS
0F38200OtherMIBLUE CARE NETWORK

Other names 1

  • Dubin Optometric Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

23342 Farmington Rd
Farmington, MI 48336
Phone (248) 477-1616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1932376597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23342 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-477-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23342 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-477-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. VARGOVICK OD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "VARGOVICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-477-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F38200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0F38200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubin Optometric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.