1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Ophthalmology
  6. NPI Profile

OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC
NPI 1174974356
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Grand Rapids, MI

Active since June 28, 2016
4070 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546(616) 888-2948(616) 888-2949 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oculoplastic Associates Of West Michigan, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC (NPI 1174974356) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Grand Rapids, Michigan and active in the NPI registry since June 2016. The organization lists Tiffany L Kent, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1174974356
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameOCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC
Location Address4070 LAKE DR SE, SUITE 205Grand Rapids, MI 49546-8294
Mailing Address4070 Lake Dr Se, Suite 205Grand Rapids, MI 49546-8294 · (616) 888-2948 · Fax (616) 888-2949
Phone(616) 888-2948
Fax(616) 888-2949
Organization SubpartNo
Authorized OfficialTiffany L KentOwner, Physician · (616) 888-2948
Enumeration DateJune 28, 2016
Last NPPES UpdateOctober 5, 2016
✔ NPI 1174974356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in MI · 4301092933
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
4070 LAKE DR SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 1

Other1164686812Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATIE R UGOLINI M.D.
Specialist
4070 LAKE DR SE, SUITE 202
GRAND RAPIDS, MI 49546
Kent County (616) 464-4420
DR. TIFFANY LAUREN KENT MD, PHD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4070 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 888-2948
CENTER FOR BREAST & BODY CONTOURING PC
Specialist
4070 LAKE DR SE, SUITE 202
GRAND RAPIDS, MI 49546
Kent County (616) 464-4420
JOHN G FORD OD
Optometrist
4070 LAKE DR SE, SUITE 101
GRAND RAPIDS, MI 49546
Kent County (616) 949-8500
PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC
Clinic/Center (Physical Therapy)
4070 LAKE DR SE, SUITE: 204
GRAND RAPIDS, MI 49546
Kent County (616) 481-3690
MICHAEL EDWARD NOVAK M.D.
Urology
4070 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-4340
KENNETH W POST MD PLC
Surgery
4070 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 954-1763
CYNTHIA GENEVA OD
Optometrist
4070 LAKE DR SE, SUITE 101
GRAND RAPIDS, MI 49546
Kent County (616) 949-8500

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 Oculoplastic Associates Of West Michigan, Plc's NPI number?

The NPI number for Oculoplastic Associates Of West Michigan, Plc is 1174974356. It was assigned to this organization in the NPPES registry on June 28, 2016.

Where is Oculoplastic Associates Of West Michigan, Plc located?

Oculoplastic Associates Of West Michigan, Plc is located at 4070 Lake Dr SE Suite 205, Grand Rapids, MI 49546. The listed phone number is (616) 888-2948.

What is Oculoplastic Associates Of West Michigan, Plc's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

What insurance does Oculoplastic Associates Of West Michigan, Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Oculoplastic Associates Of West Michigan, Plc 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 Oculoplastic Associates Of West Michigan, Plc was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.