THREE RIVERS EYECARE PC NPI 1063450278

NPI Information

  • NPI: 1063450278
  • Provider Name: THREE RIVERS EYECARE PC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: SUSSEX VISION CENTER
  • Address: 56847 N MAIN ST
    THREE RIVERS, MI
    ZIP 49093
  • Phone: (269) 273-5825

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NPI Details

THREE RIVERS EYECARE PC is an eyewear supplier in Three Rivers, 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 1063450278. 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:

56847 N MAIN ST
THREE RIVERS, MI
ZIP 49093
Phone: (269) 273-5825
Fax: (269) 279-6010

The provider's authorized official is Michael L Sussex .
The authorized official title is President and has the following contact phone number (517) 278-6303.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/29/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1944553494MEDICAIDMICHIGAN
2945191148MEDICAIDMICHIGAN
31251300001MEDICARE NSCMICHIGAN
4DB5493MEDICARE PINMICHIGAN
50M60130MEDICARE PIN
6943465664MEDICAIDMICHIGAN
7944696844MEDICAIDMICHIGAN
8900G510070OTHERMICHIGANBCBS
9945215713MEDICAIDMICHIGAN

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: 11/21/2025

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