MICHIGAN MEDICAL PC
NPI 1952565749
Optometrist in Grand Rapids, MI

Active since July 11, 2008
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI 49546(616) 464-2890(616) 464-2891 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michigan Medical Pc NPPES

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

MICHIGAN MEDICAL PC (NPI 1952565749) is a healthcare organization registered as an optometrist in Grand Rapids, Michigan and active in the NPI registry since July 2008. The organization lists Scott Harring, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952565749
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMICHIGAN MEDICAL PC
Location Address4069 LAKE DR SE, SUITE 315Grand Rapids, MI 49546-8816
Mailing Address4085 Burton St Se, Suite 200Grand Rapids, MI 49546-2444
Fax(616) 464-2891
Organization SubpartYes
Authorized OfficialScott HarringCfo · (616) 974-4889
Enumeration DateJuly 11, 2008
NPI 1952565749 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.

4069 LAKE DR SE, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
4069 LAKE DR SE, S-313
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Optometrist
4069 LAKE DR SE, S-315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE, SUITE 312
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Surgery
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 313
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315D
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, STE. 114
GRAND RAPIDS, MI 49546
Ophthalmology
4069 LAKE DR SE, SUITE 315 D
GRAND RAPIDS, MI 49546
Podiatrist
4069 LAKE DR SE, SUITE 315 B
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Technician/Technologist (Optician)
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, SUITE 114
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, SUITE 114
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952565749, enumerated as an "organization" on July 11, 2008.

The provider is located at 4069 LAKE DR SE SUITE 315 GRAND RAPIDS, MI 49546 and the phone number is (616) 464-2890.

Optometrist with taxonomy code 152W00000X.