Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Village Optical Shoppe Inc

Organization Optometrist · NPI 1033567490

Medical Village Optical Shoppe Inc is an Optometrist in Beverly Hills, Michigan. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31815 Southfield Rd Ste #12
Beverly Hills, MI 48025-5471
Phone: (248) 645-2220
Fax: (877) 547-8277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X
Optometrist Taxonomy 152W00000X
Contact Lens Technician/Technologist Taxonomy 156FC0800X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1033567490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Knoerr — President · (248) 645-2220
Other names Optical Designs
NPI enumeratedMay 26, 2016
Last updated in NPPESMay 26, 2016
Mailing address31815 Southfield Rd, Suite #12, Beverly Hills, MI 48025-5471

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