Organization Active NPI

Gregory D Popowitz PC

  • Optometrist
  • Lansing, MI
National Provider Identifier
1992793749
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003607 Issued in MI
Legal business name
GREGORY D POPOWITZ PC
Doing business as
Deltavision Optical
Practice address
934 Elmwood Rd
Lansing, MI 48917-2070
Phone
(517) 886-0222
Fax
(517) 886-0224
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Gregory Darryl Popowitz, OD
Title
Owner
Phone
(517) 886-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4901003607 MI Primary

Addresses

Primary practice location

934 Elmwood Rd
Lansing, MI 48917-2070

Mailing address

934 Elmwood Rd
Lansing, MI 48917-2070
Phone (517) 886-0222

Other identifiers 5

IdentifierTypeStateIssuer
203456MedicaidMI
200000002541MedicaidMI
253368MedicaidMI
200000002542MedicaidMI
OC36852OtherMIBCBSM

Other names 1

  • Deltavision Optical Doing business as

National Provider Directory

National Provider Directory

Locations

5403 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 886-0222

934 Elmwood Rd
Lansing, MI 48917
Phone (517) 886-0222

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1992793749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 ELMWOOD RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172070",
            "telephone_number": "517-886-0222",
            "fax_number": "517-886-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 ELMWOOD RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172070",
            "telephone_number": "517-886-0222",
            "fax_number": "517-886-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D POPOWITZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "POPOWITZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DARRYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-886-0222",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203456",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000002541",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253368",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000002542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OC36852",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deltavision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.