GOODWILL OPTICAL LLC NPI 1639257553

NPI Information

  • NPI: 1639257553
  • Provider Name: GOODWILL OPTICAL LLC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: GOODWILL OPTICAL
  • Address: 1112 ROBBINS RD
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 604-5333

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NPI Details

GOODWILL OPTICAL LLC is an optometrist in Grand Haven, MI. The provider is 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. GOODWILL OPTICAL LLC NPI is 1639257553. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Goodwill Optical.

The provider's business location address is:

1112 ROBBINS RD
GRAND HAVEN, MI
ZIP 49417-740
Phone: (616) 604-5333
Fax: (616) 604-5330

The provider's authorized official is Timothy D Westra .
The authorized official title is President and has the following contact phone number (616) 846-0620.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/20/2008.

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
1152W00000XOptometristYes

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
1P32620006MEDICARE PINMICHIGAN
2=========OTHERMICHIGANTAX ID
3U82022MEDICARE UPINMICHIGAN
4U88901MEDICARE UPINMICHIGAN
5P32620002MEDICARE PINMICHIGAN

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

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