MICHAEL L SUSSEX OD PC NPI 1083653497

NPI Information

  • NPI: 1083653497
  • Provider Name: MICHAEL L SUSSEX OD PC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: SUSSEX VISION CENTER
  • Address: 706 S CENTREVILLE RD
    STURGIS, MI
    ZIP 49091
  • Phone: (269) 651-2960

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NPI Details

MICHAEL L SUSSEX OD PC is an eyewear supplier in Sturgis, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MICHAEL L SUSSEX OD PC NPI is 1083653497. 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:

706 S CENTREVILLE RD
STURGIS, MI
ZIP 49091
Phone: (269) 651-2960
Fax: (269) 657-4333

The provider's authorized official is Michael L Sussex .
The authorized official title is President Owner and has the following contact phone number (269) 651-2960.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 8/5/2009.

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
10875500001MEDICARE NSCMICHIGAN
2900A210070OTHERMICHIGANBCBS
3941776997MEDICAIDMICHIGAN
40M60150MEDICARE PINMICHIGAN

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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