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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: August 02, 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
Phone(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
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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

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, BlueCross BlueShield of Tennessee and more.Insurance ›

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.

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.

DR. KATHRYN A CIZEK O.D.
Optometrist
3830 W FRONT ST, CEDAR RUN EYE CENTER
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888
LINDA JEAN MADIGAN CRNA
Nurse Anesthetist, Certified Registered
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-2500
DR. TIMOTHY B. HANLEY M.D.
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888
CEDAR RUN EYE CENTER OPTICAL
Eyewear Supplier
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888
CEDAR RUN EYE CENTER
Optometrist
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888
DR. ROBERT F STEVENSON MD
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888
DR. JODI MARIE HUMMEL OD
Optometrist
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888
CEDAR RUN EYE CENTER, PLLC
Ophthalmology
3830 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-3888

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.

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee and Oscar Insurance Company 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.