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RETINA SPECIALISTS OF MICHIGAN PC NPI 1801048699


NPI Information

NPI: 1801048699
Provider Name: RETINA SPECIALISTS OF MICHIGAN PC
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
5030 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 954-2020
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RETINA SPECIALISTS OF MICHIGAN PC is a retina specialist ophthalmology in Grand Rapids, MI. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA SPECIALISTS OF MICHIGAN PC NPI is 1801048699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5030 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-725
Phone: (616) 954-2020
Fax: (616) 949-0408

The provider's authorized official is Heather Duhr .
The authorized official title is Executive Director and has the following contact phone number (616) 466-7562.

The enumeration date for this NPI number is 10/13/2008 and was last updated on 6/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology4301077476MICHIGANNo
2207WX0107XOphthalmologyRetina SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.