GOODRICH OPTICAL INC
NPI 1811095680
Optometrist in Lansing, MI

Q: What is Goodrich Optical Inc's NPI number?

The NPI number for Goodrich Optical Inc is 1811095680. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Goodrich Optical Inc's specialty?

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

Active since September 20, 2006

6425 S PENNSYLVANIA AVE STE 13, LANSING, MI 48911(517) 393-2660(517) 393-1313 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Goodrich Optical Inc NPPES

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

GOODRICH OPTICAL INC (NPI 1811095680) is a healthcare organization registered as an optometrist in Lansing, Michigan and active in the NPI registry since September 2006. The organization lists David S Goodrich, Cio, as its authorized official.

NPPES Registry Identity

NPI1811095680

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGOODRICH OPTICAL INC

Location Address6425 S PENNSYLVANIA AVE STE 13Lansing, MI 48911-5975

Mailing Address2450 Delhi Commerce Dr Ste 1Holt, MI 48842-2193 · (517) 393-2660 · Fax (517) 393-1313

Phone(517) 393-2660

Fax(517) 393-1313

Organization SubpartNo

Authorized OfficialDavid S GoodrichCio · (517) 393-2660

Enumeration DateSeptember 20, 2006

Last NPPES UpdateOctober 1, 2019

✔ NPI 1811095680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6425 S PENNSYLVANIA AVE STE 13, Lansing, MI 48911

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Other Identifiers 4

OtherOP0850MI · Eyemed

Other900C313260MI · Blue Cross Of Michigan

Other22-00278MI · Physicians Health Plan

Other22-70051MI · Php Family Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goodrich Optical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Goodrich Optical Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Bosak, O.D.

Optometry

NPI 1194988790

6425 S PENNSYLVANIA AVE SUITE 16
Lansing, MI 48911

(517) 393-2660

✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Goodrich Optical Inc's NPI number?

The NPI number for Goodrich Optical Inc is 1811095680. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Goodrich Optical Inc located?

Goodrich Optical Inc is located at 6425 S Pennsylvania Ave Ste 13, Lansing, MI 48911. The listed phone number is (517) 393-2660.

What is Goodrich Optical Inc's specialty?

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

Is Goodrich Optical Inc enrolled in Medicare?

Yes. Goodrich Optical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goodrich Optical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Goodrich Optical Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Goodrich Optical Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 4 other insurers list Goodrich Optical Inc 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 Goodrich Optical Inc was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.