Medical Village Optical Shoppe Inc
NPI 1073572962 · Optometrist · Beverly Hills, MI
Medical Village Optical Shoppe Inc is a Optometrist organization in Beverly Hills, MI (NPI 1073572962).
Provider details
- NPI number
- 1073572962
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Roy Knoerr, Ceo(248) 645-2220
Specialties & taxonomies
Eye and Vision Services Providers
- Optician156FX1800X
Eye and Vision Services Providers
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medical Village Optical
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2016-05-17
Frequently asked questions
- What is Medical Village Optical Shoppe Inc's NPI number?
- Medical Village Optical Shoppe Inc's National Provider Identifier (NPI) is 1073572962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Village Optical Shoppe Inc?
- Medical Village Optical Shoppe Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Medical Village Optical Shoppe Inc located?
- Medical Village Optical Shoppe Inc's practice location on file with NPPES is 31815 Southfield Rd, Beverly Hills, MI 48025-5471.
- What is Medical Village Optical Shoppe Inc's phone number?
- The practice phone number listed in the NPPES registry for Medical Village Optical Shoppe Inc is (248) 645-2220.
- Who is the authorized official for Medical Village Optical Shoppe Inc?
- The authorized official listed on Medical Village Optical Shoppe Inc's NPPES record is Roy Knoerr, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Village Optical Shoppe Inc's NPI active?
- Yes — Medical Village Optical Shoppe Inc's NPI (1073572962) is active in the NPPES registry as of the last update on 2016-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.