CEDAR RUN EYE CENTER OPTICAL
NPI 1215157367
Eyewear Supplier in Traverse City, MI

Active since April 30, 2007
3830 W FRONT ST, TRAVERSE CITY, MI 49684(231) 929-3888(231) 929-4365 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedar Run Eye Center Optical NPPES

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

CEDAR RUN EYE CENTER OPTICAL (NPI 1215157367) is a healthcare organization registered as an eyewear supplier in Traverse City, Michigan and active in the NPI registry since April 2007. The organization lists Jennifer Grochowalski, Administration, as its authorized official.

NPPES Registry Identity

NPI1215157367
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCEDAR RUN EYE CENTER OPTICAL
Location Address3830 W FRONT STTraverse City, MI 49684-8153
Mailing AddressPo Box 2335Traverse City, MI 49685-2335 · (231) 929-3888 · Fax (231) 929-4365
Fax(231) 929-4365
Organization SubpartNo
Authorized OfficialJennifer GrochowalskiAdministration · (231) 929-3888
Enumeration DateApril 30, 2007
Last NPPES UpdateNovember 30, 2009
NPI 1215157367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X
3830 W FRONT ST, Traverse City, MI 49684

Other Identifiers 3

Medicare NSC1020070001MI
Other900B863470MI · Bcbsm
Other180B86357MI · Bcbsm

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

Other Providers at the Same Location NPPES 10

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

Optometrist
3830 W FRONT ST, CEDAR RUN EYE CENTER
TRAVERSE CITY, MI 49684
Nurse Anesthetist, Certified Registered
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Optometrist
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Optometrist
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684

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 Cedar Run Eye Center Optical's NPI number?

The NPI number for Cedar Run Eye Center Optical is 1215157367. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Cedar Run Eye Center Optical located?

Cedar Run Eye Center Optical is located at 3830 W Front St, Traverse City, MI 49684. The listed phone number is (231) 929-3888.

What is Cedar Run Eye Center Optical's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Cedar Run Eye Center Optical was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.