NPIMap

Organization Active NPI

Pasqua LLC

  • Optometrist
  • Cheboygan, MI
National Provider Identifier
1952547697
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PASQUA LLC
Practice address
100 S Main St
Cheboygan, MI 49721-1658
Phone
(231) 627-3149
Fax
(231) 627-3855
NPI assigned
Dec 31, 2008
Organization subpart
Yes
Parent organization
PASQUA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Lois J Hibner
Title
Executive Director
Phone
(989) 724-7440

Specialties & licenses 1

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

Addresses

Primary practice location

100 S Main St
Cheboygan, MI 49721-1658

Mailing address

100 S Main St
Cheboygan, MI 49721-1658
Phone (231) 627-3149

Other identifiers 1

IdentifierTypeStateIssuer
900C510530OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • New Vision Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staniszewski-Pasqua LLC4 organizations share this tax ID, including this one
Part of
Staniszewski-Pasqua LLC

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1952547697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211658",
            "telephone_number": "231-627-3149",
            "fax_number": "231-627-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211658",
            "telephone_number": "231-627-3149",
            "fax_number": "231-627-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASQUA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASQUA LLC",
        "enumeration_date": "2008-12-31",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "HIBNER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-724-7440"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900C510530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.