GOODWILL OPTICAL INC (NPI# 1003099789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003099789 |
| Entity Type | Organization |
| Organization Name | GOODWILL OPTICAL INC |
| Other Organization Name | GOODWILL OPTICAL |
| Practice Address |
5487 S Division Ave Wyoming MI 49548-5720 |
| Mailing Address |
105 W Exchange St Spring Lake MI 49456-2024 |
| Practice Telephone | 6167736000 |
| Practice Fax Number | 6167340921 |
| Mailing Telephone | 6168460620 |
| Mailing Fax Number | 6168446079 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | TIMOTHY WESTRA (PRESIDENT) |
| Authorized Official Telephone | 6168460620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Goodwill Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447542485 | Goodwill Optical Inc | Optometrist | 4340 Miller Rd, Suite A, Flint, MI 48507-1297 | 2011-05-10 |
| 1003053893 | Goodwill Optical Inc | Optometrist | 1934 E Sherman Blvd, Muskegon, MI 49444-1824 | 2009-01-15 |
| 1932346921 | Goodwill Optical Inc | Optometrist | 4781 W Us Highway 10, Ludington, MI 49431-9681 | 2009-01-13 |
| 1508034711 | Goodwill Optical Inc | Optometrist | 1655 4 Mile Rd Ne, Grand Rapids, MI 49525-2438 | 2008-02-11 |
| 1376737635 | Goodwill Optical Inc | Optometrist | 405 S Michigan Ave, Saginaw, MI 48602-2026 | 2007-08-30 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1285856419 | Goodwill Optical Inc | Optometrist | 153 W Sprague Rd, Ionia, MI 48846 | 2007-05-03 |
| 1982746053 | Goodwill Optical Inc | Optometrist | 3270 29th Steet, Se, Grand Rapids, MI 49512-1875 | 2007-02-13 |
| 1285712109 | Goodwill Optical Inc | Optometrist | 1974 E Sherman Blvd, Muskegon, MI 49444-1824 | 2006-11-01 |
| 1720163199 | Goodwill Optical Inc | Optometrist | 393 E Lakewood Blvd, Holland, MI 49424-2002 | 2006-10-26 |
| Street Address |
5487 S DIVISION AVE |
| City | WYOMING |
| State | MI |
| Zip Code | 49548-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1639459019 | Jordan Kuipers | Optometrist | 5838 Metro Way, Wyoming, MI 49519 | 2011-08-17 |
| 1528370905 | Ngoc-anh La | Optometrist | 1010 28th St Sw, Suite 11b, Wyoming, MI 49509-2881 | 2010-07-13 |
| 1922206531 | Wyoming Family Vision Care Pllc | Optometrist | 1391 36th St Sw, Wyoming, MI 49509-3417 | 2007-07-05 |
| 1457405904 | Dale Vandyke | Optometrist | 600 36th St Sw, Wyoming, MI 49509 | 2007-01-22 |
| 1669526521 | Larry Bruce Vanderzwaag | Optometrist | 4211 Clyde Park Ave Sw, Wyoming, MI 49509-5474 | 2007-01-22 |
| 1861449225 | Staci Dawn Ecenbarger | Optometrist | 5751 Byron Center Ave Sw, Suite V, Wyoming, MI 49519-9621 | 2006-05-30 |
| 1477513612 | Robert Dewey Blase | Optometrist | 155 Wyoming Ave, Wyoming, PA 18644-1708 | 2006-03-23 |
| 1053382994 | Lewis E Lisses | Optometrist | 1018 Wyoming Ave, Wyoming, PA 18644-1331 | 2006-01-30 |
| 1598750416 | Lynnette Gay Burgess | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2005-09-16 |
| Find all providers in WYOMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.