Group Vision Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003927 Issued in MI

Legal business name

GROUP VISION CENTER, INC.

Practice address

4337 Maple St
Dearborn, MI 48126-3535

Phone

(313) 582-8080

Fax

(313) 582-8090

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Walter J Cukrowski, MDNPI 1720078587

Title

Owner/Physician

Phone

(248) 352-2806

Specialties & licenses 3

Addresses

Other names 1

• MIDWESTERN VISION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Group Vision Center, Inc.

  • Eyewear Supplier
  • Dearborn, MI
  • NPI 1124178694

  O20131016001038

  Same enrollment

Locations

Practitioners 2

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

• Roman Goldvekht, O.D.

  • Optometrist
  • Dearborn, MI
  • NPI 1265582753
  Medicare reassignment NPD
• Walter J Cukrowski, MD

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1720078587
  NPD (past) Authorized official

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1992133169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263535",
            "telephone_number": "313-582-8080",
            "fax_number": "313-582-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263535",
            "telephone_number": "313-582-8080",
            "fax_number": "313-582-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "CUKROWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-352-2806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003927",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901003927",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWESTERN VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDWESTERN VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayvaughn Deante Grissom
• Alonzo Gerrard Groggins, ATC, AT
• Hailey Lynn Gross
• Jennifer Michelle Gross, M.ED., BCBA, LBA
• Group Vision Center, Inc.
• Grow Your Mind Therapy
• Hajer N Gsouda I
• Guat Sy Jr MD PC
• Cynthia Makayla Guelette
• Heather L Guernsey, SLP

• Optometrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.