PROFESSIONAL OPTICAL LLC
NPI 1790846533
Eyewear Supplier in Petoskey, MI

Active since December 13, 2006
560 W MITCHELL ST, SUITE#204, PETOSKEY, MI 49770(231) 487-0171 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Optical Llc NPPES

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

PROFESSIONAL OPTICAL LLC (NPI 1790846533) is a healthcare organization registered as an eyewear supplier in Petoskey, Michigan and active in the NPI registry since December 2006. The organization lists David Dziak, Member, as its authorized official.

NPPES Registry Identity

NPI1790846533
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePROFESSIONAL OPTICAL LLC
Location Address560 W MITCHELL ST, SUITE#204Petoskey, MI 49770-2275
Mailing Address560 W Mitchell St, Suite#204Petoskey, MI 49770-2275 · (231) 487-0171 · Fax (231) 487-0690
Organization SubpartNo
Authorized OfficialDavid DziakMember · (231) 487-0171
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 17, 2008
NPI 1790846533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
560 W MITCHELL ST, Petoskey, MI 49770

Other Identifiers 2

Other540B411030MI · Mi Bcbs
Medicare NSC5907810001MI

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Professional Optical carries, from the Medicare DMEPOS supplier directory.

Professional Optical

DMEPOS supplier · Petoskey, MIOperated by Professional Optical LLC

Accepts Medicare assignment

Professional Optical agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20565725
Medicare Participant SinceMay 4, 2007
Supplier Location560 W Mitchell St Ste 204Petoskey, MI 49770
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
560 W MITCHELL ST, STE 210
PETOSKEY, MI 49770
Internal Medicine (Rheumatology)
560 W MITCHELL ST, STE 560
PETOSKEY, MI 49770
Neurological Surgery
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Nurse Practitioner (Adult Health)
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Internal Medicine
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Internal Medicine (Pulmonary Disease)
560 W MITCHELL ST, STE 505
PETOSKEY, MI 49770
Audiologist-Hearing Aid Fitter
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Psychiatry & Neurology (Neurology)
560 W MITCHELL ST
PETOSKEY, MI 49770

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 Professional Optical LLC's NPI number?

The NPI number for Professional Optical LLC is 1790846533. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Professional Optical LLC located?

Professional Optical LLC is located at 560 W Mitchell St Suite#204, Petoskey, MI 49770. The listed phone number is (231) 487-0171.

What is Professional Optical LLC's specialty?

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

Does Professional Optical LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Professional Optical accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Professional Optical LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Professional Optical LLC 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 Professional Optical LLC was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.