Provider Demographics
NPI:1871901892
Name:HOUSER DRAPER INVESTMENTS PLLC
Entity type:Organization
Organization Name:HOUSER DRAPER INVESTMENTS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:517-485-9050
Mailing Address - Street 1:405 W GREENLAWN AVE
Mailing Address - Street 2:SUITE101
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-2898
Mailing Address - Country:US
Mailing Address - Phone:517-482-3940
Mailing Address - Fax:517-482-1324
Practice Address - Street 1:405 W GREENLAWN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2898
Practice Address - Country:US
Practice Address - Phone:517-482-3940
Practice Address - Fax:517-482-1324
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSER DRAPER INVESTMENTS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-23
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004011152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6158470002Medicare NSC
MI83107Medicare UPIN