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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: August 23, 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.

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
Phone(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
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Other Identifiers 1

Medicare NSC0685950001MI

Other Providers at the Same Location NPPES 2

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

GRO OPTICAL, LLC
Eyewear Supplier
717 BAGLEY AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 451-0896
DR. WILLIAM GEORGE SCHULTZ O.D.
Optometrist
717 BAGLEY AVE SE
EAST GRAND RAPIDS, MI 49506
Kent County (616) 451-1947

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 Lakeshore Opticians's NPI number?

The NPI number for Lakeshore Opticians is 1851561906. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Lakeshore Opticians located?

Lakeshore Opticians is located at 717 Bagley Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 451-0896.

What is Lakeshore Opticians's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeshore Opticians was last updated on March 5, 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.