SHORELINE OPTICAL, LLC (NPI# 1184781676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184781676 |
| Entity Type | Organization |
| Organization Name | SHORELINE OPTICAL, LLC |
| Practice Address |
1445 Sheldon Rd Suite 100 Grand Haven MI 49417-2480 |
| Mailing Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Practice Telephone | 6168421680 |
| Practice Fax Number | 6168428269 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | MRS. MICHELLE CASSENS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2317399009 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORELINE OPHTHALMOLOGY PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326383506 | Shoreline Optical, LLC | Technician/Technologist | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2012-11-29 |
| 1972808921 | Shoreline Optical, LLC | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2011-01-24 |
| 1356586895 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 3375 Mccracken St, Norton Shores, MI 49441-3670 | 2008-12-12 |
| 1629252598 | Shoreline Optical, LLC | Eyewear Supplier (Equipment, not the service) | 301 Center St, North Muskegon, MI 49445-3104 | 2007-12-27 |
| 1114097359 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| Street Address |
1445 SHELDON RD SUITE 100 |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648624 | David Thomas Ottenbaker | Family Medicine | 1445 Sheldon Rd, Suite 201, Grand Haven, MI 49417-2480 | 2005-06-01 |
| 1326571712 | Susan Bowers | Pharmacist | 1445 Sheldon Rd, Suite 104, Grand Haven, MI 49417-2480 | 2017-04-04 |
| 1417392093 | West Michigan Heart | Internal Medicine | 1445 Sheldon Rd, Suite 200, Grand Haven, MI 49417-2480 | 2013-05-08 |
| 1275872509 | Lakeshore Urology Plc | Urology | 1445 Sheldon Rd, Suite 102, Grand Haven, MI 49417-2480 | 2013-02-06 |
| 1699068148 | Caitlin M. Schmidt | Obstetrics & Gynecology | 1445 Sheldon Rd, Suite 301, Grand Haven, MI 49417-2480 | 2011-05-17 |
| 1902116262 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 1445 Sheldon Rd, Suite 302, Grand Haven, MI 49417-2480 | 2010-10-20 |
| 1831409747 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 1445 Sheldon Rd, Suite 201, Grand Haven, MI 49417-2480 | 2010-10-13 |
| 1205145760 | Spectrum Health Primary Care Partners | Internal Medicine | 1445 Sheldon Rd, Grand Haven, MI 49417-2480 | 2010-10-01 |
| 1336372218 | Michigan Medical Patient Care | Durable Medical Equipment & Medical Supplies | 1445 Sheldon Rd, Suite 200, Grand Haven, MI 49417-2480 | 2009-08-26 |
| 1679745897 | Michigan Medical Patient Care | Pediatrics | 1445 Sheldon Rd, Grand Haven, MI 49417-2480 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770789562 | Wal-mart Stores East, Lp | Technician/Technologist | 14700 Us 31, 616 844 3074, Grand Haven, MI 49417 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201420 | William Wise | Technician/Technologist | 410 North St, Otisville, MI 48463-9705 | 2019-12-10 |
| 1033750658 | American Eye Institute Optical Inc | Technician/Technologist | 2300 Haggerty Rd Ste 1100, West Bloomfield, MI 48323-2185 | 2019-10-04 |
| 1225595705 | National Vision Inc | Technician/Technologist | 1328 S Rochester Rd, Rochester Hills, MI 48307-3124 | 2019-02-21 |
| 1184191306 | National Vision Inc | Technician/Technologist | 50697 Waterside Dr, Chesterfield, MI 48051-4008 | 2018-10-25 |
| 1275045916 | W. Optical 4 LLC | Technician/Technologist | 1004 28th St Sw, Wyoming, MI 49509-2881 | 2017-11-03 |
| 1164932489 | Salim Rufo Auraha | Technician/Technologist | 3747 15 Mile Rd, Sterling Heights, MI 48310-5358 | 2017-10-02 |
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1811434293 | Joseph Frye-dandridge | Technician/Technologist | 18669 Oakfield St, Detroit, MI 48235-3060 | 2017-01-24 |
| 1689110710 | W. Optical 2 LLC | Technician/Technologist | 3233 Alpine Ave Nw Ste A, Grand Rapids, MI 49544-1631 | 2017-01-12 |
| 1811377740 | Kat Stannis LLC | Technician/Technologist | 1794 N Old Us 23, Howell, MI 48843-7193 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on SHORELINE OPTICAL, LLC.
| 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.