ROBERT D & CINDY L DOUGLAS NPI 1023287836

NPI Information

  • NPI: 1023287836
  • Provider Name: ROBERT D & CINDY L DOUGLAS
  • Classification: Technician/Technologist - 156F00000X
  • Entity Type: Organization
  • Address: 12412 STAFFORD
    RAVENNA, MI
    ZIP 49451
  • Phone: (231) 853-6459

Map and Directions

Get Directions

NPI Details

ROBERT D & CINDY L DOUGLAS is a technician technologist in Ravenna, MI. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. ROBERT D & CINDY L DOUGLAS NPI is 1023287836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12412 STAFFORD
RAVENNA, MI
ZIP 49451-307
Phone: (231) 853-6459
Fax: (231) 853-6459

The provider's authorized official is Cindy Lee Douglas .
The authorized official title is Optician and has the following contact phone number (231) 853-6459.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 9/23/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156F00000XTechnician/TechnologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900F176110OTHERMICHIGANBLUE CROSS BLUESHIELD
256038OTHERMICHIGANDAVIS VISION
30797110001MEDICARE NSC
4OP0965OTHERMICHIGANEYE MED
50797110001MEDICARE UPINMICHIGAN

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI