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NPI 1811032881

NPI 1811032881 : SVS VISION INC : ALLEN PARK, MI

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General NPI Number Information
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    NPI Number           |    1811032881
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    Entity Type          |    Organization 
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    Legal Business Name  |    SVS VISION INC 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    15801 SOUTHFIELD RD 
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    City                 |    ALLEN PARK
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    State                |    MI
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    Zip                  |    48101-2512
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    Country              |    US
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    Telephone            |    313-382-0100
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    Fax                  |    313-382-0102
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Provider Business Mailing Address
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    Address Line         |    PO BOX 19060 
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    City                 |    GREEN BAY
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    State                |    WI
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    Zip                  |    54307-9060
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    Country              |    US
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    Telephone            |    920-429-7285
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RUSSELL G STEINHORST 
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    Credential           |    OD
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    Telephone            |    920-429-7285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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