MEDICARE: VIEWPOINT VISION CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4901003673	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083912588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIEWPOINT VISION CARE LLC

Provider Business Mailing Address
First Line	:	13675 23 MILE ROAD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48315-2906
Country	:	US
Telephone Number	:	586-532-1600
Fax Number	:	586-532-8565

Provider Business Practice Location Address
First Line	:	13675 23 MILE ROAD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48315-2906
Country	:	US
Telephone Number	:	586-532-1600
Fax Number	:	586-532-8565

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY D. SPITLER
Credential	:	O.D.
Telephone Number	:	586-532-1600

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	05/26/2011

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Directions to “VIEWPOINT VISION CARE LLC ” Practice Location

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