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CASCADE OPHTHALMOLOGY PC NPI 1508927286


NPI Information

NPI: 1508927286
Provider Name: CASCADE OPHTHALMOLOGY PC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
791 KENMOOR AVE SE
SUITE A
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 575-8200
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CASCADE OPHTHALMOLOGY PC is an eyewear supplier in Grand Rapids, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CASCADE OPHTHALMOLOGY PC NPI is 1508927286. The provider is registered as an organization entity type.

The provider's business location address is:

791 KENMOOR AVE SE
SUITE A
GRAND RAPIDS, MI
ZIP 49546-625
Phone: (616) 575-8200
Fax: (616) 954-9622

The provider's authorized official is Elizabeth H Henry .
The authorized official title is Owner and has the following contact phone number (616) 575-8200.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 9/30/2015.


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
1332H00000XEyewear Supplier4301070226MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15012170001MEDICARE NSC

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

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