THREE RIVERS EYECARE PC (NPI# 1497812150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497812150 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS EYECARE PC |
| Other Organization Name | SUSSEX VISION CENTER |
| Practice Address |
123 S Fair Street Otsego MI 49078 |
| Mailing Address |
56847 N Main St Three Rivers MI 49036 |
| Practice Telephone | 2696949462 |
| Practice Fax Number | 2696945826 |
| Mailing Telephone | 2692735825 |
| Mailing Fax Number | 2692796010 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | MICHAEL L SUSSEX (PRESIDENT OWNER) |
| Authorized Official Telephone | 2696949462 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS EYECARE PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 900G510070 | 01 |
| MI | 944696853 | 05 | |
| MI | 945191120 | 05 |
| Other Name | Type Code |
|---|---|
| Sussex Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013040120 | Three Rivers Eyecare PC | Eyewear Supplier (Equipment, not the service) | 1525 A W Michigan Avenue, Battle Creek, MI 49017 | 2007-03-14 |
| 1063450278 | Three Rivers Eyecare PC | Eyewear Supplier (Equipment, not the service) | 56847 N Main St, Three Rivers, MI 49093 | 2006-06-02 |
| Street Address |
123 S FAIR STREET |
| City | OTSEGO |
| State | MI |
| Zip Code | 49078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789847 | Lindsey Betout | Nurse Practitioner | 900 Dix Street, Otsego, MI 49078 | 2017-06-08 |
| 1285983593 | Danielle Leigh Williams | Psychologist | 1387 M-89, Otsego, MI 49078 | 2012-08-31 |
| 1114031168 | Darl Devon Albrecht | Chiropractor | 304 Dix Street, Otsego, MI 49078 | 2006-08-18 |
| 1942356241 | Michael J Merda | Dentist | 338 W Allegan St, Otsego, MI 49078-1012 | 2007-01-27 |
| 1063010163 | Michael J. Merda | Clinic/Center | 338 W Allegan St, Otsego, MI 49078-1012 | 2020-10-12 |
| 1760043194 | Aubrey May Deibert | Dentist | 338 W Allegan St, Otsego, MI 49078-1012 | 2019-06-26 |
| 1710165899 | Lorna Mae Symonds | Physical Therapy Assistant | 205 N North St, Otsego, MI 49078-1018 | 2008-01-31 |
| 1144493495 | Kyle Victor Mead | Physical Therapy Assistant | 205 N North St, Otsego, MI 49078-1018 | 2008-04-08 |
| 1477821650 | Dana E Harmon | Nurse Practitioner | 344 W Allegan St, Otsego, MI 49078-1086 | 2011-12-02 |
| 1205255536 | Monarch Health, LLC | Clinic/Center | 344 W Allegan St, Otsego, MI 49078-1086 | 2014-04-15 |
| Find all providers in zip 49078 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780835884 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 15800 87th St, Otsego, MN 55330-6546 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| 1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
| 1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.