Provider Demographics
NPI:1861509739
Name:SCHAFF VISION CARE, LLC
Entity Type:Organization
Organization Name:SCHAFF VISION CARE, LLC
Other - Org Name:VISION CARE PLUS
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-787-7900
Mailing Address - Street 1:1617 N WEST AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-2030
Mailing Address - Country:US
Mailing Address - Phone:517-787-7900
Mailing Address - Fax:517-787-8462
Practice Address - Street 1:1617 N WEST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-2030
Practice Address - Country:US
Practice Address - Phone:517-787-7900
Practice Address - Fax:517-787-8462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002927152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty