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VISION CENTER OF CANTON PC
NPI 1609047422
Eyewear Supplier in Canton, MI

Active since March 19, 2008
325 N. LILLEY RD., CANTON, MI 48187(734) 981-2700(734) 981-0198 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vision Center Of Canton Pc NPPES

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

VISION CENTER OF CANTON PC (NPI 1609047422) is a healthcare organization registered as an eyewear supplier in Canton, Michigan and active in the NPI registry since March 2008. The organization lists Christine A Jack, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1609047422
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameVISION CENTER OF CANTON PC
Location Address325 N. LILLEY RD.Canton, MI 48187-3908
Mailing Address325 N. Lilley Rd.Canton, MI 48187-3908 · (734) 981-2700 · Fax (734) 981-0198
Phone(734) 981-2700
Fax(734) 981-0198
Organization SubpartNo
Authorized OfficialChristine A JackOwner/optometrist · (734) 981-2700
Enumeration DateMarch 19, 2008
Last NPPES UpdateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1609047422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
325 N. LILLEY RD., Canton, MI 48187
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Center Of Canton Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Vision Center Of Canton PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Christine Jack, OD
Optometry
NPI 1477667251
325 N LILLEY RD
Canton, MI 48187
(734) 981-2700
✔ PECOS✔ Accepts MedicareSame address
Olivia Marineau, OD
Optometry
NPI 1275159246
325 N LILLEY RD
Canton, MI 48187
(734) 981-2700
✔ PECOS✔ Accepts MedicareSame address
Brian Pierce, OD
Optometry
NPI 1699830646
325 N LILLEY RD
Canton, MI 48187
(734) 981-2700
✔ PECOSSame address
Cole Jordan, OD
Optometry
NPI 1851082309
4646 JOHN R ST
Detroit, MI 48201
(313) 576-1000
✔ PECOS25 mi
Tatevik Movsisyan, O.D.
Optometry
NPI 1720535446
700 19TH ST S
Birmingham, AL 35233
(205) 933-8101
✔ PECOS635 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vision Center Of Canton PC's NPI number?

The NPI number for Vision Center Of Canton PC is 1609047422. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Vision Center Of Canton PC located?

Vision Center Of Canton PC is located at 325 N. Lilley Rd., Canton, MI 48187. The listed phone number is (734) 981-2700.

What is Vision Center Of Canton PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Vision Center Of Canton PC enrolled in Medicare?

Yes. Vision Center Of Canton PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vision Center Of Canton PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Vision Center Of Canton PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vision Center Of Canton PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Vision Center Of Canton PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vision Center Of Canton PC was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.