MICHIGAN VISION INSTITUTE PLLC NPI 1780746081

NPI Information

  • NPI: 1780746081
  • Provider Name: MICHIGAN VISION INSTITUTE PLLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: MICHIGAN VISION INSTITUTE
  • Address: 5300 GATEWAY CTR
    FLINT, MI
    ZIP 48507
  • Phone: (810) 720-9111

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NPI Details

MICHIGAN VISION INSTITUTE PLLC is an ophthalmology in Flint, MI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MICHIGAN VISION INSTITUTE PLLC NPI is 1780746081. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michigan Vision Institute.

The provider's business location address is:

5300 GATEWAY CTR
FLINT, MI
ZIP 48507-930
Phone: (810) 720-9111
Fax: (810) 720-9119

The provider's authorized official is Edward Patrick Stack .
The authorized official title is Physician and has the following contact phone number (810) 720-9111.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/25/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology4301065179MICHIGANYes

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
10995895OTHERMICHIGANHEALTHPLUS OF MICHIGAN
21802511821OTHERMICHIGANBLUECARE NETWORK
34774225MEDICAIDMICHIGAN
4C6993OTHERMICHIGANMCARE
51802511821OTHERMICHIGANBCBSM
65100110OTHERMICHIGANAETNA
7G08694OTHERMICHIGANHAP
8000000013286MEDICAIDMICHIGAN
91015959OTHERMICHIGANMCLAREN HEALTH ADV

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: 3/30/2025

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