DIRECT OPTICAL OF CANTON, LLC (NPI# 1598075160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598075160 |
| Entity Type | Organization |
| Organization Name | DIRECT OPTICAL OF CANTON, LLC |
| Practice Address |
41840 Ford Road Canton MI 48187 |
| Practice Telephone | 7349811760 |
| Practice Fax Number | 7349811574 |
| Mailing Telephone | 7349811760 |
| Mailing Fax Number | 7349811574 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | MS. MARIANA MIHAJLOVSKI (PRESIDENT) |
| Authorized Official Telephone | 7349811760 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIRECT OPTICAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NATIONAL VISION ADMINISTRATORS | 230266 | 01 |
| NY | DAVIS VISION | 58695 | 01 |
| MI | DELTA VISION | NONE | 01 |
| OH | EYEMED VISION CARE | CP2724 | 01 |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 900F376990 | 01 |
| MI | MEBS | NONE | 01 |
| MA | SUPERIOR VISION | NONE | 01 |
| IN | MECA | NONE | 01 |
| Street Address |
41840 FORD ROAD |
| City | CANTON |
| State | MI |
| Zip Code | 48187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| 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 |
|---|---|---|---|---|
| 1730546334 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 42400 Ford Rd, Canton, MI 48187-3337 | 2016-01-27 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1467781682 | Plaza Optical | Eyewear Supplier (Equipment, not the service) | 1130 30th St Nw, Canton, OH 44709-2921 | 2009-12-17 |
| 1528209970 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 5151 Dressler Road Nw, Canton, OH 44718 | 2009-03-16 |
| 1609047422 | Vision Center PC | Eyewear Supplier (Equipment, not the service) | 325 N. Lilley Rd., Canton, MI 48187-3908 | 2008-03-19 |
| 1427230028 | Bella Vista Total Eyecare | Eyewear Supplier (Equipment, not the service) | 7168 Fulton Dr Nw, Suite 111, Canton, OH 44718-1523 | 2007-12-05 |
| 1568522944 | Fisher Foods Marketing Inc | Eyewear Supplier (Equipment, not the service) | 1363 Cherry Ave Ne, Canton, OH 44714-2528 | 2006-12-08 |
| 1205919826 | William M Chapman | Eyewear Supplier (Equipment, not the service) | 3017b Cleveland Ave Sw, Chapmans Canton South Optical, Canton, OH 44707-3625 | 2006-10-24 |
| 1316032352 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2006-10-04 |
| 1134133119 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4300 Tuscarawas St W, Canton, OH 44708-5427 | 2006-07-28 |
| Find all providers in CANTON | ||||
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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.