Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medical Village Optical Shoppe Inc

Optometrist in Beverly Hills, MI · enumerated 2006 · authorized official Roy Knoerr, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073572962

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Medical Village Optical Shoppe Inc

Other name <Unavail>

Practice address 31815 Southfield Rd, Suite 12, Beverly Hills, MI, 48025

Phone (248) 645-2220

Fax (877) 547-8277

Enumeration date Mar 21, 2006

Last updated in NPPES May 17, 2016

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 4901002468 (MI) Primary

156FX1800X Optician Eye and Vision Services Providers Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Roy Knoerr

Title Ceo

Phone (248) 645-2220

Other identifiers

Identifier	Type	State	Issuer
1953840	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Medical Village Optical Shoppe Inc located?

The practice location on file with NPPES is in Beverly Hills, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-05-17. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-17.