Organization
SVS VISION INC
Active
Other names
SVS Vision Optical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FRESHNEY (CREDENTIALING MANAGER)
(586) 464-1479
Entity
Organization
Contact information
Practice address
2107 E BELTLINE AVE NE STE D-E, GRAND RAPIDS, MI 49525-9779
(616) 320-3690
(616) 366-9065
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194879023
—
MI
Enumeration date
12/21/2021
Last updated
12/21/2021
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