LAKESHORE OPTICIANS
NPI 1851561906
Eyewear Supplier in Grand Rapids, MI

Active since March 05, 2008
717 BAGLEY AVE SE, GRAND RAPIDS, MI 49506(616) 451-0896 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeshore Opticians NPPES

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

LAKESHORE OPTICIANS (NPI 1851561906) is a healthcare organization registered as an eyewear supplier in Grand Rapids, Michigan and active in the NPI registry since March 2008. The organization lists Michael Vanderbaan, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1851561906
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLAKESHORE OPTICIANS
Location Address717 BAGLEY AVE SEGrand Rapids, MI 49506-3001
Mailing Address717 Bagley Ave SeGrand Rapids, MI 49506-3001 · (616) 451-0896
Organization SubpartNo
Authorized OfficialMichael VanderbaanOwner · (616) 451-0896
Enumeration DateMarch 5, 2008
NPI 1851561906 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.

717 BAGLEY AVE SE, Grand Rapids, MI 49506

Other Identifiers 1

Medicare NSC0685950001MI

Reviews for LAKESHORE OPTICIANS

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
717 BAGLEY AVE SE
EAST GRAND RAPIDS, MI 49506
Eyewear Supplier
717 BAGLEY AVE SE
GRAND RAPIDS, MI 49506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851561906, enumerated as an "organization" on March 05, 2008.

The provider is located at 717 BAGLEY AVE SE GRAND RAPIDS, MI 49506 and the phone number is (616) 451-0896.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.