Active NPI
Jeffrey B. Byland, O.D., P.C.
Doing business as Excellence in Vision
- Eyewear Supplier
- Fremont, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4901002849
- Legal business name
- JEFFREY B. BYLAND, O.D., P.C.
- Doing business as
- Excellence in Vision
- Practice address
- 103 S Division Ave
Fremont, MI 49412-1602 - Phone
- (231) 924-4110
- Fax
- (231) 924-5007
- NPI assigned
- Oct 18, 2006
- Last updated
- Dec 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lara A Eenigenburg, OD
- Title
- President
- Phone
- (231) 924-4110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 4901002849 | MI | Primary |
Addresses
Primary practice location
103 S Division Ave
Fremont, MI 49412-1602
Mailing address
103 S Division Ave
Fremont, MI 49412-1602
Phone (231) 924-4110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900F26506 | Other | MI | BC BS OF MI |
| 410014405 | Other | MI | MEDICARE RAILROAD |
| 2892598 | Medicaid | MI |
Other names 1
- EXCELLENCE IN VISION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 S Division Ave
Fremont, MI 49412
Phone (231) 924-0430
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Fremont, MI
- NPI 1013915859
-
- Optometrist
- Big Rapids, MI
- NPI 1457748048
-
- Optometrist
- Big Rapids, MI
- NPI 1952351926
-
- Optometrist
- Fremont, MI
- NPI 1477740272
-
- Optometrist
- Muskegon, MI
- NPI 1457508962
-
- General Practice Dentistry
- Kent City, MI
- NPI 1043229917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607212800000",
"number": "1003997651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S DIVISION AVE",
"city": "FREMONT",
"state": "MI",
"postal_code": "494121602",
"telephone_number": "231-924-4110",
"fax_number": "231-924-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S DIVISION AVE",
"city": "FREMONT",
"state": "MI",
"postal_code": "494121602",
"telephone_number": "231-924-4110",
"fax_number": "231-924-5007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY B. BYLAND, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-12-06",
"certification_date": "2020-12-06",
"status": "A",
"authorized_official_last_name": "EENIGENBURG",
"authorized_official_first_name": "LARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-924-4110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MI",
"license": "4901002849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MI",
"identifier": "900F26506",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410014405",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2892598",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EXCELLENCE IN VISION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fremont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.