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DR. GORDON DALE SCHULTZE O.D.
NPI 1821124165
Optometrist in Jenison, MI

Active since February 23, 2007
597 BALDWIN ST, JENISON, MI 49428(616) 457-0760(616) 457-0762 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gordon Dale Schultze O.d. NPPES

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

DR. GORDON DALE SCHULTZE O.D. (NPI 1821124165) is an individual optometrist in Jenison, Michigan, licensed in Michigan (4901002394) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1821124165
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GORDON DALE SCHULTZECredential: O.D.
Location Address597 BALDWIN STJenison, MI 49428-7994
Mailing Address597 Baldwin StJenison, MI 49428-7994 · (616) 457-0760 · Fax (616) 457-0762
Phone(616) 457-0760
Fax(616) 457-0762
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821124165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901002394
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.
597 BALDWIN ST, Jenison, MI 49428
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Other Identifiers 2

Medicare ID-Type UnspecifiedON96950-001MI
Medicare UPINT33525MI

Other Providers at the Same Location NPPES 4

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

DR. JOANN LEE DDS
Dentist
597 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0450
DR. ALLEN RALPH SMITH O.D.
Optometrist
597 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0760
LIFETIME EYECARE P C
Optometrist
597 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0760
JENISON FAMILY DENISTRY, PLLC
Dentist (General Practice)
597 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0450

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 Gordon Schultze's NPI number?

The NPI number for Gordon Schultze is 1821124165. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Gordon Schultze located?

Gordon Schultze practices at 597 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 457-0760.

What is Gordon Schultze's specialty?

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

When was this NPI record last updated?

The NPPES record for Gordon Schultze was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.