KENTWOOD FAMILY EYE CARE (NPI# 1881090041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881090041 |
| Entity Type | Organization |
| Organization Name | KENTWOOD FAMILY EYE CARE |
| Practice Address |
2073 Dykstra Rd Muskegon MI 49445-1988 |
| Mailing Address |
4326 28th St Se Kentwood MI 49512-1908 |
| Practice Telephone | 2317500845 |
| Mailing Telephone | 6169497442 |
| Mailing Fax Number | 6169561274 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | BRUCE BULLION (OPTOMETRIST) |
| Authorized Official Telephone | 6169497442 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004094 | MI | Eye and Vision Services Providers |
| Street Address |
2073 DYKSTRA RD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| 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 |
|---|---|---|---|---|
| 1326607177 | Rachel Anne Copley | Optometrist | 1930 E Apple Ave Ste E, Muskegon, MI 49442-4277 | 2019-06-06 |
| 1003053893 | Goodwill Optical Inc | Optometrist | 1934 E Sherman Blvd, Muskegon, MI 49444-1824 | 2009-01-15 |
| 1457541179 | Rx Optical Laboratories, Inc. | Optometrist | 1720 E Sternberg Rd, Suite 20, Muskegon, MI 49444-7762 | 2007-07-30 |
| 1639236466 | Rx Optical Laboratories, Inc | Optometrist | 2159 E Apple Ave, Muskegon, MI 49442-4366 | 2007-01-02 |
| 1720154818 | Gary C. Spencer | Optometrist | 3106 Glade St, Muskegon, MI 49444-2706 | 2006-11-28 |
| 1285712109 | Goodwill Optical Inc | Optometrist | 1974 E Sherman Blvd, Muskegon, MI 49444-1824 | 2006-11-01 |
| 1245315589 | Kent Vision Centers Inc | Optometrist | 896 Jefferson St, Muskegon, MI 49440-1250 | 2006-10-26 |
| 1417993098 | David M Gundersen | Optometrist | 442 W Western Ave, Muskegon, MI 49440 | 2006-06-21 |
| 1720077845 | Korinne Marie Swain | Optometrist | 1179 Whitehall Rd, Ste. B, Muskegon, MI 49445-2497 | 2005-10-20 |
| 1720071798 | Heather Marie Burgess-peterson | Optometrist | 1871 Holton Rd, Suite A, Muskegon, MI 49445-1594 | 2005-08-25 |
| Find all providers in MUSKEGON | ||||
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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.