DALE W MUTH OD PLLC
NPI 1629100011
Eyewear Supplier in Newberry, MI

Active since March 12, 2007
504 W HARRIE ST, NEWBERRY, MI 49868(906) 293-9276(906) 293-9100 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dale W Muth Od Pllc NPPES

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

DALE W MUTH OD PLLC (NPI 1629100011) is a healthcare organization registered as an eyewear supplier in Newberry, Michigan and active in the NPI registry since March 2007. The organization lists Dale W Muth, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1629100011
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDALE W MUTH OD PLLC
Location Address504 W HARRIE STNewberry, MI 49868-1200
Mailing Address504 W Harrie StNewberry, MI 49868-1200 · (906) 293-9276 · Fax (906) 293-9100
Fax(906) 293-9100
Organization SubpartNo
Authorized OfficialDale W MuthOptometrist · (906) 293-9276
Enumeration DateMarch 12, 2007
Last NPPES UpdateJune 9, 2015
NPI 1629100011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in MI · 4901003944
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
504 W HARRIE ST, Newberry, MI 49868

Other Identifiers 1

Medicare NSC4597650001MI

Other Providers at the Same Location NPPES 6

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

Internal Medicine
504 W HARRIE ST
NEWBERRY, MI 49868
Optometrist
504 W HARRIE ST
NEWBERRY, MI 49868
Internal Medicine
504 W HARRIE ST
NEWBERRY, MI 49868
Optometrist
504 W HARRIE ST
NEWBERRY, MI 49868
Optometrist
504 W HARRIE ST
NEWBERRY, MI 49868
Optometrist
504 W HARRIE ST
NEWBERRY, MI 49868

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 Dale W Muth Od PLLC's NPI number?

The NPI number for Dale W Muth Od PLLC is 1629100011. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Dale W Muth Od PLLC located?

Dale W Muth Od PLLC is located at 504 W Harrie St, Newberry, MI 49868. The listed phone number is (906) 293-9276.

What is Dale W Muth Od PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dale W Muth Od PLLC was last updated on June 9, 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.