MR. THOMAS BOURDON OPTICIAN NPI 1770774663

NPI Information

  • NPI: 1770774663
  • Provider Name: MR. THOMAS BOURDON, OPTICIAN
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 3375 MCCRACKEN ST
    MUSKEGON, MI
    ZIP 49441
  • Phone: (231) 755-2291

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NPI Details

MR. Thomas Bourdon, OPTICIAN is an optician technician technologist in Muskegon, MI. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Thomas Bourdon, OPTICIAN NPI is 1770774663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3375 MCCRACKEN ST
MUSKEGON, MI
ZIP 49441-670
Phone: (231) 755-2291
Fax: (231) 755-2293

The enumeration date for this NPI number is 8/6/2007 and was last updated on 5/19/2008.

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
1156FX1800XTechnician/TechnologistOpticianYes

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
10817390001MEDICARE UPINMICHIGAN
20817390001MEDICARE 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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