TRAVERSE CITY EYE CONSULTANTS P C
NPI 1861554636
Ophthalmology in Kalkaska, MI

Active since December 15, 2006
419 S CORAL ST, KALKASKA, MI 49646(231) 935-8101(231) 935-0955 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Traverse City Eye Consultants P C NPPES

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

TRAVERSE CITY EYE CONSULTANTS P C (NPI 1861554636) is a healthcare organization registered as an ophthalmology in Kalkaska, Michigan and active in the NPI registry since December 2006. The organization lists Kenneth B Gum, Doctor, as its authorized official.

NPPES Registry Identity

NPI1861554636
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameTRAVERSE CITY EYE CONSULTANTS P C
Location Address419 S CORAL STKalkaska, MI 49646-2500
Mailing Address5199 N Royal DrTraverse City, MI 49684-9201 · (231) 935-8101 · Fax (231) 935-0955
Fax(231) 935-0955
Organization SubpartYes
Authorized OfficialKenneth B GumDoctor · (231) 935-8101
Enumeration DateDecember 15, 2006
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
NPI 1861554636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedEyewear SupplierTaxonomy 332H00000X
419 S CORAL ST, Kalkaska, MI 49646

Other Identifiers 2

Medicaid0N89560MI
Medicaid0N89570MI

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.

Speech-Language Pathologist
419 S CORAL ST
KALKASKA, MI 49646
Family Medicine
419 S CORAL ST
KALKASKA, MI 49646
Occupational Therapist (Hand)
419 S CORAL ST
KALKASKA, MI 49646
Speech-Language Pathologist
419 S CORAL ST
KALKASKA, MI 49646
Family Medicine
419 S CORAL ST
KALKASKA, MI 49646
Nurse Practitioner (Family)
419 S CORAL ST
KALKASKA, MI 49646
Skilled Nursing Facility
419 S CORAL ST
KALKASKA, MI 49646
Registered Nurse
419 S CORAL ST
KALKASKA, MI 49646

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 Traverse City Eye Consultants P C's NPI number?

The NPI number for Traverse City Eye Consultants P C is 1861554636. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Traverse City Eye Consultants P C located?

Traverse City Eye Consultants P C is located at 419 S Coral St, Kalkaska, MI 49646. The listed phone number is (231) 935-8101.

What is Traverse City Eye Consultants P C's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Traverse City Eye Consultants P C was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.