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THREE RIVERS EYECARE PC NPI 1013040120


NPI Information

NPI: 1013040120
Provider Name: THREE RIVERS EYECARE PC

Doing Business As: SUSSEX VISION CENTER

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1525 A W MICHIGAN AVENUE
BATTLE CREEK, MI
ZIP 49017
Phone: (269) 964-9200
Get Directions

THREE RIVERS EYECARE PC is an eyewear supplier in Battle Creek, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. THREE RIVERS EYECARE PC NPI is 1013040120. The provider is registered as an organization entity type.
The provider Is Doing Business As Sussex Vision Center.

The provider's business location address is:

1525 A W MICHIGAN AVENUE
BATTLE CREEK, MI
ZIP 49017
Phone: (269) 964-9200
Fax: (269) 964-8818

The provider's authorized official is Michael L Sussex .
The authorized official title is President and has the following contact phone number (269) 964-9200.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1944946517MEDICAIDMICHIGAN
2900G510070OTHERBCBS
3944932600MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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