ADVANCE VISION MEDICAL, INC. (NPI# 1275508079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275508079 |
| Entity Type | Organization |
| Organization Name | ADVANCE VISION MEDICAL, INC. |
| Practice Address |
30856 Groesbeck Hwy B Roseville MI 48066-1580 |
| Practice Telephone | 5865739385 |
| Practice Fax Number | 5865820165 |
| Mailing Telephone | 5865739385 |
| Mailing Fax Number | 5865820165 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MS. DEBORAH KAYE SALATKA (PRESIDENT) |
| Authorized Official Telephone | 5865739385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OXYGEN | 71020000E00162 | 01 |
| MI | 3181705 | 05 |
| Street Address |
30856 GROESBECK HWY B |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1669084174 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 2675 44th St Sw Ste 208, Wyoming, MI 49519-6834 | 2020-08-18 |
| 1215549720 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 44201 Dequindre Rd Ste 222, Troy, MI 48085-1117 | 2020-08-18 |
| 1700407368 | Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 11930 Whitmore Lake Rd Ste C, Whitmore Lake, MI 48189-9153 | 2020-05-05 |
| 1245860899 | American Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 24782 Forterra Dr, Warren, MI 48089-4375 | 2020-01-23 |
| 1720623804 | Air-caire Home Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 3554 Alpine Ave Nw, Grand Rapids, MI 49544-1659 | 2019-11-12 |
| 1285118976 | Compass Medical Equipment | Durable Medical Equipment & Medical Supplies | 28035 Southfield Rd Ste 104, Lathrup Village, MI 48076-2858 | 2018-09-19 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1588162168 | Valerie Bzeih Iatrics Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 7243 Reuter St, Dearborn, MI 48126-1545 | 2018-01-29 |
| 1649798901 | Patient Choice Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2075 Fort St Ste 101a, Lincoln Park, MI 48146-2191 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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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.