SOUTH KENT VISION CENTER PC


Address: 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808
Phone: 6165344953

SOUTH KENT VISION CENTER PC (NPI# 1124205547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124205547
Entity Type Organization
Organization Name SOUTH KENT VISION CENTER PC
Practice Address 4467 Byron Center Ave Sw
Wyoming
MI 49519-4808
Practice Telephone 6165344953
Mailing Telephone 6165344953
Enumeration Date 2008-01-28
Last Update Date 2013-05-30
Authorized Official Name DR. ROBERT ARTHUR HOHENDORF (PRESIDENT/OWNER)
Authorized Official Telephone 6165344953
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 4901002522 MI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD OD16559 01
MI 943216794 05

Office Location

Street Address 4467 BYRON CENTER AVE SW
City WYOMING
State MI
Zip Code 49519-4808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598750416 Lynnette Gay Burgess Optometrist 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2005-09-16
1427500578 Lydia Sutton Nurse Practitioner 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2016-10-25
1699180836 Scott Anthony Baar Nurse Practitioner 4467 Byron Center Ave Sw, Wyoming, MI 49519 2014-06-26
1609294537 West Michigan Primary Care Internal Medicine 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2014-03-28
1639418932 West Michigan Vision Specialists Optometrist 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2013-02-06
1770753899 Madrid Psychological Associates Psychologist 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2008-03-04
1699974154 Kelly Marie Daugherty Zielaskowski Optometrist 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2007-07-15
1144281718 Robert Arthur Hohendorf Optometrist 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 2006-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609364009 Alexandra K Hylen Dentist 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 2018-05-01
1962925685 Nicole Lee Kolasa Rehabilitation Counselor 2038 Melvin St. Sw, Wyoming, MI 49519 2017-07-25
1720534472 Michael Ash Rehabilitation Practitioner 1870 36th Street, Wyoming, MI 49519 2016-08-31
1891248993 Kayleigh Saucier Family Medicine 5900 Byron Center Avenue Se, Wyoming, MI 49519 2016-07-26
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1033547658 Maranda Catherine Gary Nurse Practitioner 2122 Health Drive, Wyoming, MI 49519 2013-10-16
1144657800 Diana Ro Psychologist 4211 Parkway Place Sw, #100, Wyoming, MI 49519 2013-09-26
1386077873 Lindsey Elizabeth Chorney Nurse Practitioner 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 2013-08-20
1124377163 Vision and Sensory Center of Michigan LLC Optometrist 4467 Byron Center Ave., Wyoming, MI 49519 2012-09-06
1881940203 Judah Durable Medical Equipment & Medical Supplies 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 2012-08-03
Find all providers in zip 49519

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1003099789 Goodwill Optical Inc Optometrist 5487 S Division Ave, Wyoming, MI 49548-5720 2007-12-17
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
Find all providers in WYOMING

Competitor

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City WYOMING
Zip Code 49519

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Dataset Information

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.

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