Grand River Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003945 Issued in MI

Legal business name

GRAND RIVER EYE CARE LLC

Practice address

810 E Grand River Ave
Howell, MI 48843-2432

Phone

(517) 545-2020

Fax

(517) 545-2002

NPI assigned

Aug 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John William Muir Jr., O.D.NPI 1639161615

Title

Owner

Phone

(517) 545-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John William Muir Jr., O.D.

  • Optometrist
  • Howell, MI
  • NPI 1639161615
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1023202199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432432",
            "telephone_number": "517-545-2020",
            "fax_number": "517-545-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432432",
            "telephone_number": "517-545-2020",
            "fax_number": "517-545-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-545-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "90OD700040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Gowryluk, MA CCC SLP
• Christine Grabow, LLMSW
• Stephanie Lauren Grajek, MS, ATC
• Eleni Grams, CCHW
• Grand River Chiropractic Life Center
• Charles R Grassie, M.D.
• Brittany Nicole Gray
• Angelique C.R Grayhek
• Great Lakes Family Dentalgroup-Howell
• Natalie Kristyn Green, OTR/L, MOT

• Optometrist in Howell, MI
• Providers in Howell, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.

Verify at the official NPI Registry.