MICHIGAN MEDICAL PC
NPI 1952565749
Optometrist in Grand Rapids, MI

Q: What is Michigan Medical PC's NPI number?

The NPI number for Michigan Medical PC is 1952565749. It was assigned to this organization in the NPPES registry on July 11, 2008.

Q: What is Michigan Medical PC's specialty?

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

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: September 06, 2026.

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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

Phone(616) 464-2890

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

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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 NPPES 20

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

TABETHA EMILY BERGERON PA-C

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

ROBERT CUFF MD

Surgery (Vascular Surgery)

4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546

Kent County (616) 267-8700

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Durable Medical Equipment & Medical Supplies

4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546

Kent County (616) 464-2860

SARAH L PARKER NP

Nurse Practitioner (Family)

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Dietitian, Registered

4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

SAVANNAH DAWN MOLNER PA

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Family Medicine

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7105

AMELIA JOY ASHCRAFT PA-C

Physician Assistant

4069 LAKE DR SE
GRAND RAPIDS, MI 49546

Kent County (616) 267-7469

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 Michigan Medical PC's NPI number?

The NPI number for Michigan Medical PC is 1952565749. It was assigned to this organization in the NPPES registry on July 11, 2008.

Where is Michigan Medical PC located?

Michigan Medical PC is located at 4069 Lake Dr SE Suite 315, Grand Rapids, MI 49546. The listed phone number is (616) 464-2890.

What is Michigan Medical PC'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 Michigan Medical PC was last updated on July 11, 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.