GOODWILL OPTICAL INC (NPI# 1932346921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932346921 |
| Entity Type | Organization |
| Organization Name | GOODWILL OPTICAL INC |
| Other Organization Name | GOODWILL OPTICAL |
| Practice Address |
4781 W Us Highway 10 Ludington MI 49431-9681 |
| Mailing Address |
105 W Exchange St Spring Lake MI 49456-2024 |
| Practice Telephone | 2318433482 |
| Practice Fax Number | 2318433693 |
| Mailing Telephone | 6168460620 |
| Mailing Fax Number | 6168446079 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| 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 |
| 1508034711 | Goodwill Optical Inc | Optometrist | 1655 4 Mile Rd Ne, Grand Rapids, MI 49525-2438 | 2008-02-11 |
| 1003099789 | Goodwill Optical Inc | Optometrist | 5487 S Division Ave, Wyoming, MI 49548-5720 | 2007-12-17 |
| 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 |
4781 W US HIGHWAY 10 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| 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 |
|---|---|---|---|---|
| 1033648894 | Felicia Slate | Optometrist | 5959 Lawndale St, Ludington, MI 49431-2921 | 2017-06-06 |
| 1710362488 | John Michael Large | Optometrist | 5959 Lawndale St, Ludington, MI 49431-2921 | 2015-07-23 |
| 1619165800 | West Shore Eye Care PC | Optometrist | 409 W Ludington Ave, Ludington, MI 49431-2377 | 2007-10-12 |
| 1205997749 | Kent Vision Centers Inc | Optometrist | 7 Atkinson Dr, Suite 115, Ludington, MI 49431-1953 | 2006-12-12 |
| 1871601294 | Derek Frederick Fatura | Optometrist | 4854 W Us Highway 10, Ludington, MI 49431-8703 | 2006-08-27 |
| 1710908629 | Andrew S Riemer Do PC | Optometrist | 5959 Lawndale St, Ludington, MI 49431-2921 | 2006-07-23 |
| 1962470070 | Jennifer Lee Branning | Optometrist | 409 W Ludington Ave, Ludington, MI 49431 | 2006-03-14 |
| 1538130208 | Julie P Ritter | Optometrist | 5959 Lawndale St, Ludington, MI 49431-2921 | 2006-01-30 |
| 1295705846 | Amanda L Lang | Optometrist | 5959 Lawndale St, Ludington, MI 49431-2921 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
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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.