MEDICAL VILLAGE OPTICAL
NPI 1073572962
Optometrist in Beverly Hills, MI

Active since March 21, 2006
31815 SOUTHFIELD RD, SUITE 12, BEVERLY HILLS, MI 48025(248) 645-2220(877) 547-8277 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Village Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL VILLAGE OPTICAL (NPI 1073572962) is a healthcare organization registered as an optometrist in Beverly Hills, Michigan and active in the NPI registry since March 2006. The organization lists Roy Knoerr, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073572962
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMEDICAL VILLAGE OPTICAL SHOPPE INC
Location Address31815 SOUTHFIELD RD, SUITE 12Beverly Hills, MI 48025-5471
Mailing Address31815 Southfield Rd, Suite 12Beverly Hills, MI 48025-5471 · (248) 645-2220 · Fax (877) 547-8277
Fax(877) 547-8277
Organization SubpartNo
Authorized OfficialRoy KnoerrCeo · (248) 645-2220
Enumeration DateMarch 21, 2006
Last NPPES UpdateMay 17, 2016
NPI 1073572962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MI · 4901002468
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
Also ListedOphthalmologyTaxonomy 207W00000X
31815 SOUTHFIELD RD, Beverly Hills, MI 48025

Other Names 1

Doing Business AsMedical Village Optical

Other Identifiers 3

Medicaid1953840MI
Medicare PINON80960MI
Medicare NSC0750820001MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
31815 SOUTHFIELD RD, SUITE #12
BEVERLY HILLS, MI 48025
Pediatrics
31815 SOUTHFIELD RD, SUITE 14
BEVERLY HILLS, MI 48025
Pediatrics
31815 SOUTHFIELD RD, STE 14
BEVERLY HILLS, MI 48025
Speech-Language Pathologist
31815 SOUTHFIELD RD
BEVERLY HILLS, MI 48025
Internal Medicine
31815 SOUTHFIELD RD, SUITE 12
BEVERLY HILLS, MI 48025
Pediatrics
31815 SOUTHFIELD RD, STE 14
BEVERLY HILLS, MI 48025
Dentist (General Practice)
31815 SOUTHFIELD RD, SUITE 23
BEVERLY HILLS, MI 48025
Technician/Technologist (Optician)
31815 SOUTHFIELD RD, SUITE 12
BEVERLY HILLS, MI 48025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Village Optical Shoppe Inc's NPI number?

The NPI number for Medical Village Optical Shoppe Inc is 1073572962. It was assigned to this organization in the NPPES registry on March 21, 2006. The provider is doing business as Medical Village Optical.

Where is Medical Village Optical Shoppe Inc located?

Medical Village Optical Shoppe Inc is located at 31815 Southfield Rd Suite 12, Beverly Hills, MI 48025. The listed phone number is (248) 645-2220.

What is Medical Village Optical Shoppe Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Medical Village Optical Shoppe Inc was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.