OrganizationActive
Son OD PLC
NPI 1255075693 · Optometrist · Saint Clair, MI
Provider details
- NPI number
- 1255075693
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jerrolynn Justusson, President(800) 743-0396
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
201 N Riverside Ave
Saint Clair, MI 48079-5491
Phone: (800) 743-0396
Street-level locationGet directions
Mailing address
201 N Riverside Ave
Saint Clair, MI 48079-5491
Registry dates
- Enumerated
- 2022-04-22
- Last updated
- 2022-04-22
- Certified
- 2022-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.