SVS VISION INC (NPI# 1508130592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508130592 |
| Entity Type | Organization |
| Organization Name | SVS VISION INC |
| Practice Address |
5761 E 12 Mile Rd Warren MI 48092-4640 |
| Mailing Address |
140 Macomb Pl Mount Clemens MI 48043-5651 |
| Practice Telephone | 5866193600 |
| Practice Fax Number | 5866193603 |
| Mailing Telephone | 5864687370 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | DR. ROBERT G FARRELL JR. (OWNER/CEO) |
| Authorized Official Telephone | 5864687370 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PTAN | MI1465 | 01 |
| MI | 4500481 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| 1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1598233652 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6635 W 135th St, Overland Park, KS 66223-7898 | 2018-11-07 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1427525625 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 12371 James St Ste 20, Holland, MI 49424-7618 | 2018-10-26 |
| 1902395510 | Svs Vision Inc | Optometrist | 2870 W. Market St, Ste. B, Fairlawn, OH 44333-4035 | 2018-05-09 |
| 1346746229 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7689 Mentor Ave, Mentor, OH 44060-5540 | 2018-04-01 |
| 1356858682 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 2061 N Squirrel Rd Unit 1976, Auburn Hills, MI 48326-2350 | 2018-01-09 |
| 1568977353 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 50900 Gratiot Ave, Chesterfield, MI 48051-3134 | 2017-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SVS VISION INC. | 140 Macomb, Mt Clemens, Michigan 48043 |
| Street Address |
5761 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836661 | Rachel Bering | Optometrist | 5761 E 12 Mile Rd, Warren, MI 48092-4640 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1679944177 | Tyler Mautino | Optometrist | 60 Hatch Run Rd, Warren, PA 16365-5249 | 2015-10-12 |
| 1104223726 | Optical Solutions 3 LLC | Optometrist | 2658 Niles Cortland Rd Se, Warren, OH 44484-3871 | 2014-11-25 |
| 1144452459 | Diana Marie Douglas | Optometrist | 1955 Celestial Dr Ne, Warren, OH 44484-3982 | 2009-08-20 |
| 1558561324 | Advanced Family Eyecare of Trumbull Co LLC | Optometrist | 8252 High St Ne, Warren, OH 44484-1923 | 2007-07-20 |
| 1144340589 | Thomas M. Grischow, O.d., Inc. | Optometrist | 199 Niles Cortland Rd Se, Warren, OH 44484-2426 | 2007-03-30 |
| 1407975113 | John W Barnhart | Optometrist | 4620 Mahoning Ave Nw, Warren, OH 44483-1419 | 2007-03-27 |
| 1487794533 | Lidia Sistick | Optometrist | 13812 E 14 Mile Rd, Warren, MI 48088-1488 | 2007-02-07 |
| 1699812115 | Paul Mark Peiffer | Optometrist | 3824 E 13 Mile Rd, Warren, MI 48092-1314 | 2007-01-31 |
| 1891840674 | Pearle Vision Inc | Optometrist | 29350 Van Dyke Ave, Warren, MI 48093-6765 | 2007-01-24 |
| Find all providers in WARREN | ||||
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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.