Healthcare Provider Details

I. General information

NPI: 1811032881
Provider Name (Legal Business Name): SVS VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15801 SOUTHFIELD RD
ALLEN PARK MI
48101-2512
US

IV. Provider business mailing address

PO BOX 19060
GREEN BAY WI
54307-9060
US

V. Phone/Fax

Practice location:
  • Phone: 313-382-0100
  • Fax: 313-382-0102
Mailing address:
  • Phone: 920-429-7285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateMI

VIII. Authorized Official

Name: RUSSELL G STEINHORST
Title or Position: CEO
Credential: OD
Phone: 920-429-7285