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WEST MICHIGAN OPHTHALMOLOGY PC NPI 1912083759


NPI Information

NPI: 1912083759
Provider Name: WEST MICHIGAN OPHTHALMOLOGY, PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1150 E SHERMAN BLVD
SUITE 1500
MUSKEGON, MI
ZIP 49444
Phone: (231) 737-9378
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WEST MICHIGAN OPHTHALMOLOGY, PC is an ophthalmology in Muskegon, MI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WEST MICHIGAN OPHTHALMOLOGY, PC NPI is 1912083759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 E SHERMAN BLVD
SUITE 1500
MUSKEGON, MI
ZIP 49444-871
Phone: (231) 737-9378
Fax: (231) 737-1023

The provider's authorized official is David A Goran .
The authorized official title is Owner and has the following contact phone number (231) 737-9378.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/21/2008.


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
1207W00000XOphthalmology4301079878MICHIGANYes

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
10P36810MEDICARE PINMICHIGAN
2104960267MEDICAIDMICHIGAN
31806111162OTHERMICHIGANBCBSM PIN

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: 5/5/2024

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