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ELDER EYE CARE GROUP PLC
NPI 1477617579
Optometrist in Spring Lake, MI

Active since December 21, 2006
15666 RIVER SIDE DR, SPRING LAKE, MI 49456(616) 502-0069 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elder Eye Care Group Plc NPPES

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

ELDER EYE CARE GROUP PLC (NPI 1477617579) is a healthcare organization registered as an optometrist in Spring Lake, Michigan and active in the NPI registry since December 2006. The organization lists Mark A Ventocilla, President, as its authorized official.

NPPES Registry Identity

NPI1477617579
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELDER EYE CARE GROUP PLC
Location Address15666 RIVER SIDE DRSpring Lake, MI 49456-9243
Mailing Address15666 River Side DrSpring Lake, MI 49456-9243 · (616) 502-0069
Phone(616) 502-0069
Organization SubpartNo
Authorized OfficialMark A VentocillaPresident · (616) 502-0069
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1477617579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003734
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
15666 RIVER SIDE DR, Spring Lake, MI 49456
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Other Identifiers 5

Medicaid4820570MI
Medicare ID-Type Unspecified0P24730MI · Medicare
Other900029831MI · Priority Health
Other90G011590MI · Blue Cross Blue Shield
OtherP00329735MI · Rr Medicare Number

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

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 Elder Eye Care Group Plc's NPI number?

The NPI number for Elder Eye Care Group Plc is 1477617579. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Elder Eye Care Group Plc located?

Elder Eye Care Group Plc is located at 15666 River Side Dr, Spring Lake, MI 49456. The listed phone number is (616) 502-0069.

What is Elder Eye Care Group Plc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Elder Eye Care Group Plc was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.