COOPERSVILLE VISION CENTER PC
NPI 1699816124
Optometrist in Coopersville, MI
- Organization
- Optometrist
- CLIA Number: 23D1042681
- CLIA Cert. Type: Other - MFR
- CLIA Exp. Date: 07-05-2027
About COOPERSVILLE VISION CENTER PC
This page provides the complete NPI Profile along with additional information for Coopersville Vision Center Pc, a provider established in Coopersville, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1699816124 assigned on February 2007. The practitioner's primary taxonomy code is 152W00000X with license number 4901002956 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. Coopersville Vision Center Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dawn K Walt Od (Owner)
- NPI
- 1699816124 Verify this NPI
- Provider Name
- COOPERSVILLE VISION CENTER PC
- Entity Type
- Organization
- Location Address
- 692 W RANDALL ST COOPERSVILLE, MI 49404
- Location Phone
- (616) 837-6847
- Location Fax
- (616) 837-9338
- Mailing Address
- 692 W RANDALL ST COOPERSVILLE, MI 49404
- Mailing Phone
- (616) 837-6847
- Mailing Fax
- (616) 837-9338
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2007
- Last Update Date
- 04-29-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 4901002956
- License State
- MI
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0879000001 | MEDICARE NSC (07) | MI | |
| 0N55960 | MEDICARE PIN (08) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1042681
- Facility Type
- Other - MFR
- Certificate Effective Date
- July 06, 2025
- Certificate Expiration Date
- July 05, 2027
- Laboratory Director
- TRAVIS KROLL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coopersville Vision Center Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699816124, enumerated as an "organization" on February 09, 2007.
The provider is located at 692 W RANDALL ST COOPERSVILLE, MI 49404 and the phone number is (616) 837-6847.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
