Provider Demographics
NPI:1376588954
Name:VISIONCARE ASSOCIATES PC
Entity Type:Organization
Organization Name:VISIONCARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:VINCENT-RIEMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:517-337-8182
Mailing Address - Street 1:310 W LAKE LANSING RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-1438
Mailing Address - Country:US
Mailing Address - Phone:517-337-8182
Mailing Address - Fax:517-332-0038
Practice Address - Street 1:330 W LAKE LANSING RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8527
Practice Address - Country:US
Practice Address - Phone:517-337-8182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0285710001Medicare NSC