LANDIS VISION CENTER LLC (NPI# 1194966705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194966705 |
| Entity Type | Organization |
| Organization Name | LANDIS VISION CENTER LLC |
| Practice Address |
3600 S Dort Hwy Flint MI 48507-2093 |
| Practice Telephone | 8107432830 |
| Practice Fax Number | 8107431729 |
| Mailing Telephone | 8107432830 |
| Mailing Fax Number | 8107431729 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | TRACEY ALLEN LANDIS (OWNER/MANAGER) |
| Authorized Official Telephone | 8107432830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
3600 S DORT HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680304 | Susan M. Wedda | Social Worker | 3600 S Dort Hwy, Suite 44, Flint, MI 48507-2093 | 2005-09-20 |
| 1023444148 | Michele Annette Walker | Social Worker | 3600 S Dort Hwy, Suite 54, Flint, MI 48507-2093 | 2013-09-20 |
| 1346590858 | Pamela July | Social Worker | 3600 S Dort Hwy, Flint, MI 48507-2093 | 2012-09-12 |
| 1720239700 | The Disability Network | Supports Brokerage | 3600 S Dort Hwy, Suite 54, Flint, MI 48507-2093 | 2008-10-08 |
| 1134344773 | Nancy Kaye Kreger Aills | Social Worker | 3600 S Dort Hwy, Suite 44, Flint, MI 48507 | 2007-04-17 |
| 1861513780 | Small Mall Vision Center | Optometrist | 3600 S Dort Hwy, Flint, MI 48507-2093 | 2007-04-02 |
| 1578697744 | Sara Suzanne Griffin | Counselor | 3600 S Dort Hwy, Suite 44, Flint, MI 48507-2093 | 2007-03-16 |
| 1982706537 | Tamala Kay Dickey | Counselor | 3600 S Dort Hwy, Suite 46, Flint, MI 48507 | 2006-09-03 |
| 1023110673 | Susan D Markle | Social Worker | 3600 S Dort Hwy, Ste 46, Flint, MI 48507 | 2006-09-03 |
| 1134175607 | Auburn Counseling Associates, Inc. | Clinic/Center | 3600 S Dort Hwy, Suite 44, Flint, MI 48507-2093 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839910 | Rebekah Plantz | Technician/Technologist | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173942 | Madison Lynn-grayce Baker | Technician/Technologist | 32100 Telegraph Rd # 32100205, Bingham Farms, MI 48025-2452 | 2020-10-27 |
| 1164021424 | Jennifer Julia Schneider Stahl | Technician/Technologist | 1327 Cynthia Ave, Madison Heights, MI 48071-2697 | 2020-10-19 |
| 1114525847 | Monica Nikollbibaj | Technician/Technologist | 49970 Van Dyke Ave, Shelby Township, MI 48317-1347 | 2020-10-14 |
| 1992312342 | Brittany Moeller | Technician/Technologist | 1200 E Grand River Ave Apt 27, East Lansing, MI 48823-4922 | 2020-09-29 |
| 1639785801 | Diamond B Haynes | Technician/Technologist | 32100 Telegraph Rd Ste 209, Bingham Farms, MI 48025-2454 | 2020-09-22 |
| 1326654013 | Mariah Pino | Technician/Technologist | 15004 Mclain Ave, Allen Park, MI 48101-1819 | 2020-09-18 |
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1245842079 | Wasseem Haidar | Technician/Technologist | 32100 Telegraph Rd Ste 20548025, Bingham Farms, MI 48025-2452 | 2020-08-21 |
| 1336759158 | Cameron White | Technician/Technologist | 32100, Suite 205, Bingham Farms, MI 48025-2452 | 2020-08-06 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
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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.