SHORELINE OPTICAL, LLC (NPI# 1326383506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326383506 |
| Entity Type | Organization |
| Organization Name | SHORELINE OPTICAL, LLC |
| Practice Address |
1401 W Main St Suite 101 Fremont MI 49412-1486 |
| Mailing Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Practice Telephone | 2319249009 |
| Practice Fax Number | 2319244604 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | MRS. MICHELLE CASSENS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2317399009 |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|---|
| 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 |
| 1184781676 | Shoreline Optical, LLC | Technician/Technologist | 1445 Sheldon Rd, Suite 100, Grand Haven, MI 49417-2480 | 2007-01-03 |
| 1114097359 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| Street Address |
1401 W MAIN ST SUITE 101 |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117196 | Nichole Cruzan | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-15 |
| 1073016150 | Julie Kathleen Chilson | Occupational Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-14 |
| 1306349931 | Mary Ethel Lobrigas | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-09 |
| 1962904755 | Matthew Conrad Zahl | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1801398698 | Ryan Thomas Gailey | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1114429917 | Ashley Tomlinson | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1447750146 | Beth Ann Vantreese | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-02-19 |
| 1447586094 | Newaygo County General Hospital Association | Dietitian, Registered | 1401 W Main St, Fremont, MI 49412-1486 | 2009-11-02 |
| 1588859797 | Shoreline Ophthalmology, PC | Ophthalmology | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2007-09-11 |
| 1942322946 | Fremont Orthopaedics Pllc | Orthopaedic Surgery | 1401 W Main St, Suite 100, Fremont, MI 49412-1472 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1386739373 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 40580 Albrae St., Fremont, CA 94538-2448 | 2006-10-04 |
| 1669585196 | Fremont Eye Associates, PC | Technician/Technologist | 540 E 28th St, Fremont, NE 68025-2385 | 2006-08-17 |
| 1518188291 | 3n Optical, Inc | Technician/Technologist | 101 Fremont Hub Courtyard, Fremont, CA 94538-7701 | 2007-05-01 |
| 1245313584 | Wal-mart Stores, Inc. | Technician/Technologist | 3010 E 23rd St, Fremont, NE 68025-2479 | 2006-10-23 |
| 1386726206 | Wal-mart Stores East, Lp | Technician/Technologist | 7083 W 48th St, Fremont, MI 49412-9508 | 2006-10-19 |
| 1902987043 | Wal-mart Stores, Inc. | Technician/Technologist | 44009 Osgood Rd, Fremont, CA 94539-6403 | 2006-10-17 |
| 1255341210 | Wal-mart Stores East, Lp | Technician/Technologist | 2052 N State Route 53, Fremont, OH 43420-8628 | 2006-08-09 |
| 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 |
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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.