CASCADE OPHTHALMOLOGY PC
NPI 1508927286
Eyewear Supplier in Grand Rapids, MI

Active since December 13, 2006
791 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546(616) 575-8200(616) 954-9622 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cascade Ophthalmology Pc NPPES

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

CASCADE OPHTHALMOLOGY PC (NPI 1508927286) is a healthcare organization registered as an eyewear supplier in Grand Rapids, Michigan and active in the NPI registry since December 2006. The organization lists Elizabeth H Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1508927286
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCASCADE OPHTHALMOLOGY PC
Location Address791 KENMOOR AVE SE, SUITE AGrand Rapids, MI 49546-8625
Mailing Address791 Kenmoor Ave Se, Suite AGrand Rapids, MI 49546-8625 · (616) 575-8200 · Fax (616) 954-9622
Fax(616) 954-9622
Organization SubpartNo
Authorized OfficialElizabeth H HenryOwner · (616) 575-8200
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 30, 2015
✔ NPI 1508927286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in MI · 4301070226
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
791 KENMOOR AVE SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicare NSC5012170001

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20100930057028DME · Physician - OphthalmologyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
791 KENMOOR AVE SE, SUITE A
GRAND RAPIDS, MI 49546
Ophthalmology
791 KENMOOR AVE SE, SUITE A
GRAND RAPIDS, MI 49546

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 Cascade Ophthalmology PC's NPI number?

The NPI number for Cascade Ophthalmology PC is 1508927286. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Cascade Ophthalmology PC located?

Cascade Ophthalmology PC is located at 791 Kenmoor Ave SE Suite A, Grand Rapids, MI 49546. The listed phone number is (616) 575-8200.

What is Cascade Ophthalmology PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Cascade Ophthalmology PC enrolled in Medicare?

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

When is Cascade Ophthalmology PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Michigan, Physician - Ophthalmology) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Cascade Ophthalmology PC was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.