Provider Demographics
NPI:1083912588
Name:VIEWPOINT VISION CARE LLC
Entity Type:Organization
Organization Name:VIEWPOINT VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPITLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:586-532-1600
Mailing Address - Street 1:13675 23 MILE ROAD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-2906
Mailing Address - Country:US
Mailing Address - Phone:586-532-1600
Mailing Address - Fax:586-532-8565
Practice Address - Street 1:13675 23 MILE ROAD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-2906
Practice Address - Country:US
Practice Address - Phone:586-532-1600
Practice Address - Fax:586-532-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003673152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3029871Medicaid
MI0M59020Medicare UPIN
MI3029871Medicaid