GRAND RAPIDS EYE CARE 2820 PLLC
NPI 1053534040
Optometrist in Grand Rapids, MI
About Grand Rapids Eye Care 2820 Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND RAPIDS EYE CARE 2820 PLLC (NPI 1053534040) is a healthcare organization registered as an optometrist in Grand Rapids, Michigan and active in the NPI registry since April 2007. The organization lists Mark Colin Davis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Rapids Eye Care 2820 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Grand Rapids Eye Care 2820 PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grand Rapids Eye Care 2820 PLLC's NPI number?
The NPI number for Grand Rapids Eye Care 2820 PLLC is 1053534040. It was assigned to this organization in the NPPES registry on April 10, 2007.
Where is Grand Rapids Eye Care 2820 PLLC located?
Grand Rapids Eye Care 2820 PLLC is located at 2820 E Beltline Ln NE, Grand Rapids, MI 49525. The listed phone number is (616) 363-5413.
What is Grand Rapids Eye Care 2820 PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Grand Rapids Eye Care 2820 PLLC enrolled in Medicare?
Yes. Grand Rapids Eye Care 2820 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Rapids Eye Care 2820 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Grand Rapids Eye Care 2820 PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Grand Rapids Eye Care 2820 PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Grand Rapids Eye Care 2820 PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grand Rapids Eye Care 2820 PLLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grand Rapids Eye Care 2820 Pllc · NPI 1053534040
Optometrist organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since April 10, 2007.
## Identity
- **NPI:** 1053534040 (Entity type: Organization)
- **Enumerated:** April 10, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mark Davis, OWNER
## Practice location
- **Address:** 2820 E BELTLINE LN NE, Grand Rapids, MI 49525-9432
- **Phone:** (616) 363-5413 · **Fax:** (616) 363-4211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053534040) · Data from the CMS NPPES public registry.