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PEDIATRIC OPHTHALMOLOGY PC
NPI 1225278880
Optometrist - Pediatrics in Grand Rapids, MI

Active since February 23, 2009
5050 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 957-0866(616) 957-4102 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 11, 2025, Apr 21, 2020 (2 updates tracked since 2020).

About Pediatric Ophthalmology Pc NPPES

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

PEDIATRIC OPHTHALMOLOGY PC (NPI 1225278880) is a healthcare organization registered as a pediatrics in Grand Rapids, Michigan and active in the NPI registry since February 2009. The organization lists Deborah M Droste, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225278880
Entity TypeOrganization
Primary Taxonomy152WP0200X
Legal Business NamePEDIATRIC OPHTHALMOLOGY PC
Location Address5050 CASCADE RD SEGrand Rapids, MI 49546-3707
Mailing Address5050 Cascade Rd SeGrand Rapids, MI 49546-3707 · (616) 957-0866 · Fax (616) 957-4102
Phone(616) 957-0866
Fax(616) 957-4102
Organization SubpartNo
Authorized OfficialDeborah M DrosteAdministrator · (616) 957-0866
Enumeration DateFebruary 23, 2009
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1225278880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in MI · 003979
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
5050 CASCADE RD SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 1

Medicaid2636622MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.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)

Pediatric Ophthalmology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pediatric Ophthalmology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Patrick Droste, MD
Ophthalmology
NPI 1972552628
5050 CASCADE RD SE
Grand Rapids, MI 49546
(616) 957-0866
✔ PECOSSame address
Robert Peters, OD
Optometry
NPI 1972553899
5050 CASCADE RD SE
Grand Rapids, MI 49546
(616) 957-0866
✔ PECOS✔ Accepts MedicareSame address

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 Pediatric Ophthalmology PC's NPI number?

The NPI number for Pediatric Ophthalmology PC is 1225278880. It was assigned to this organization in the NPPES registry on February 23, 2009.

Where is Pediatric Ophthalmology PC located?

Pediatric Ophthalmology PC is located at 5050 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 957-0866.

What is Pediatric Ophthalmology PC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Pediatric Ophthalmology PC enrolled in Medicare?

Yes. Pediatric Ophthalmology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Ophthalmology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pediatric Ophthalmology PC, in Ophthalmology and Optometry. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Ophthalmology PC accept?

Health plans from Blue Care Network of Michigan list Pediatric Ophthalmology PC 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 Pediatric Ophthalmology PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.