North Bay Ophthalmology, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

TV039837 Issued in MI

Legal business name

NORTH BAY OPHTHALMOLOGY, PC

Practice address

2061 M 119
Petoskey, MI 49770-8914

Phone

(231) 487-2020

Fax

(213) 487-6166

NPI assigned

Sep 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Van Every, MDNPI 1255342978

Title

President

Phone

(231) 487-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Timothy Vanevery, M.D.

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1255342978
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083712079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708914",
            "telephone_number": "231-487-2020",
            "fax_number": "213-487-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708914",
            "telephone_number": "231-487-2020",
            "fax_number": "213-487-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN EVERY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-487-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "TV039837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1802400101",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000020101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Kay Nichols, RPH
• Karen Schermerhorn Nigg, PA
• William Louis Niksch, M.D.
• NMRS, P.C.
• Duane R Nolff, PA-C
• North Bay Ophthalmology, PC (North Bay Optical)
• North Country Community Mental Health
• North Country Community Mental Health
• North Country Community Mental Health
• Northern Anesthesia Providers PC

• Ophthalmology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.