COREWELL HEALTH MEDICAL GROUP WEST
NPI 1619286663
Optometrist in Grand Rapids, MI

Q: What is Spectrum Health Primary Care Partners's specialty?

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

Active since September 24, 2010

4069 LAKE DIVE SE, SUITE 314, GRAND RAPIDS, MI 49546(616) 284-8870 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Corewell Health Medical Group West NPPES

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

COREWELL HEALTH MEDICAL GROUP WEST (NPI 1619286663) is a healthcare organization registered as an optometrist in Grand Rapids, Michigan and active in the NPI registry since September 2010. The organization lists Pauline Krywanski, Svp, as its authorized official.

NPPES Registry Identity

NPI1619286663

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4069 LAKE DIVE SE, SUITE 314Grand Rapids, MI 49546

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 284-8870

Organization SubpartYes

Authorized OfficialPauline KrywanskiSvp · (616) 486-2253

Enumeration DateSeptember 24, 2010

Last NPPES UpdateOctober 31, 2023

NPPES CertifiedOctober 31, 2023

✔ NPI 1619286663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

4069 LAKE DIVE SE, Grand Rapids, MI 49546

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Other Names 1

Doing Business AsCorewell Health Medical Group West

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 Priority Health.Insurance ›

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 Spectrum Health Primary Care Partners's NPI number?

The NPI number for Spectrum Health Primary Care Partners is 1619286663. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is doing business as Corewell Health Medical Group West.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 4069 Lake Dive SE Suite 314, Grand Rapids, MI 49546. The listed phone number is (616) 284-8870.

What is Spectrum Health Primary Care Partners's specialty?

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

What insurance does Spectrum Health Primary Care Partners accept?

Health plans from Priority Health list Spectrum Health Primary Care Partners 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 Spectrum Health Primary Care Partners was last updated on October 31, 2023. 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.