TRAVERSE CITY EYE
NPI 1225616279
Ophthalmology in Traverse City, MI

Active since March 31, 2021CLIA 23D2245843 · Waiver
3830 W FRONT ST, TRAVERSE CITY, MI 49684(231) 935-8101 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Mar 31, 2021 (2 updates tracked since 2021).

About Traverse City Eye NPPES

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

TRAVERSE CITY EYE (NPI 1225616279) is a healthcare organization registered as an ophthalmology in Traverse City, Michigan and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 16, 2027, maintains 2 additional practice locations, and lists Josh Mccaherty, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1225616279
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameTRAVERSE CITY OPHTHALMOLOGY PLLC
Location Address3830 W FRONT STTraverse City, MI 49684-8153
Mailing Address5199 N Royal DrTraverse City, MI 49684-9201 · (231) 935-8101
Organization SubpartNo
Authorized OfficialJosh MccahertyPractice Manager · (231) 935-8101
Enumeration DateMarch 31, 2021
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1225616279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3830 W FRONT ST, Traverse City, MI 49684

Other Names 1

Doing Business AsTraverse City Eye

Secondary Practice Locations 2

Location 1419 S Coral StKalkaska, MI 49646-2503 · Phone (231) 258-7695
Location 27800 US Highway 131 SCadillac, MI 49601-7080 · Phone (231) 935-8101

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traverse City Eye is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Traverse City Eye, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Optometry6
Ophthalmology4
Nurse Practitioner1

Clinicians, nearest first (11)

Ophthalmology
NPI 1851383129
3830 W FRONT ST
Traverse City, MI 49684
(231) 929-3888
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1497736102
3830 W FRONT ST
Traverse City, MI 49684
(231) 929-3888
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1265851083
5199 N ROYAL DR
Traverse City, MI 49684
(231) 935-8101
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1891857017
5199 N ROYAL DR
Traverse City, MI 49684
(231) 935-8101
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1578740668
5199 N ROYAL DR
Traverse City, MI 49684
(231) 935-8101
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1134113517
3830 W FRONT ST CEDAR RUN EYE CENTER
Traverse City, MI 49684
(231) 929-3888
✔ PECOS0.4 mi
Optometry
NPI 1457174740
2401 US 31 S
Traverse City, MI 49684
(231) 995-0263
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1437816006
3200 S CENTER HWY
Suttons Bay, MI 49682
(231) 590-3437
✔ PECOS✔ Accepts Medicare12 mi
Optometry
NPI 1104483437
882 M 72 NW
Kalkaska, MI 49646
(231) 258-9781
✔ PECOS✔ Accepts Medicare23 mi
Optometry
NPI 1477112134
5500 ARMSTRONG RD
Battle Creek, MI 49037
(269) 966-5600
✔ PECOS✔ Accepts Medicare168 mi
Ophthalmology
NPI 1750700746
3535 W 13 MILE RD STE 555
Royal Oak, MI 48073
(248) 551-2020
✔ PECOS✔ Accepts Medicare198 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2245843

Traverse City Ophthamology, PLLC · Traverse City, MI
Active · expires Dec 16, 2027
CLIA Number23D2245843
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorAlicia Eby
Laboratory Phone(231) 244-4456
Laboratory LocationTraverse City Ophthamology, PLLC3830 W Front Street, Traverse City, MI 49684
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Traverse City Ophthalmology PLLC's NPI number?

The NPI number for Traverse City Ophthalmology PLLC is 1225616279. It was assigned to this organization in the NPPES registry on March 31, 2021. The provider is doing business as Traverse City Eye.

Where is Traverse City Ophthalmology PLLC located?

Traverse City Ophthalmology PLLC is located at 3830 W Front St, Traverse City, MI 49684. The listed phone number is (231) 935-8101.

What is Traverse City Ophthalmology PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Traverse City Ophthalmology PLLC enrolled in Medicare?

Yes. Traverse City Ophthalmology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Traverse City Ophthalmology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Traverse City Ophthalmology 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. The largest specialties are Optometry (6), Ophthalmology (4) and Nurse Practitioner (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Traverse City Ophthalmology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2245843) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Traverse City Ophthalmology 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 3 other insurers list Traverse City Ophthalmology 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 Traverse City Ophthalmology PLLC was last updated on March 13, 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.