GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC
NPI 1265426514
Ophthalmology in Traverse City, MI
About Grand Traverse Ophthalmology Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC (NPI 1265426514) is a healthcare organization registered as an ophthalmology in Traverse City, Michigan and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Deanne L Musser, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Grand Traverse Ophthalmology Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Grand Traverse Ophthalmology Clinic PC, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 23D2078847
Grand Traverse Ophthalmology Clinic P C · Traverse City, MIFrequently 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 Grand Traverse Ophthalmology Clinic PC's NPI number?
The NPI number for Grand Traverse Ophthalmology Clinic PC is 1265426514. It was assigned to this organization in the NPPES registry on September 1, 2005.
Where is Grand Traverse Ophthalmology Clinic PC located?
Grand Traverse Ophthalmology Clinic PC is located at 929 Business Park Dr, Traverse City, MI 49686. The listed phone number is (231) 947-6246.
What is Grand Traverse Ophthalmology Clinic PC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Grand Traverse Ophthalmology Clinic PC enrolled in Medicare?
Yes. Grand Traverse Ophthalmology Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Traverse Ophthalmology Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Grand Traverse Ophthalmology Clinic PC. 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 Ophthalmology (7) and Optometry (5). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grand Traverse Ophthalmology Clinic PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2078847) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Grand Traverse Ophthalmology Clinic PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 5 other insurers list Grand Traverse Ophthalmology Clinic 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 Grand Traverse Ophthalmology Clinic PC was last updated on April 3, 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.
# Grand Traverse Ophthalmology Clinic Pc · NPI 1265426514
Ophthalmology organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since September 1, 2005.
## Identity
- **NPI:** 1265426514 (Entity type: Organization)
- **Enumerated:** September 1, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Deanne Musser, BILLING MANAGER
## Practice location
- **Address:** 929 BUSINESS PARK DR, Traverse City, MI 49686-8683
- **Phone:** (231) 947-6246 · **Fax:** (231) 947-8864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (7), Optometry (5); 11 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265426514) · Data from the CMS NPPES public registry.