Individual provider Active NPI

Nicholas Scott Czinder, O.D.

  • Optometrist
  • Big Rapids, MI
National Provider Identifier
1093147076
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004787 Issued in MI
Practice address
303 Elm St
Big Rapids, MI 49307-1813
Phone
(231) 796-6604
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004787 MI Primary

Addresses

Primary practice location

303 Elm St
Big Rapids, MI 49307-1813

Mailing address

303 Elm St
P.O Box 1178
Big Rapids, MI 49307-1813
Phone (231) 796-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523001659 MI Practitioner - Optometry 2668695479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Elm St
Big Rapids, MI 49307-1813
Phone (231) 796-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004787MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Czinder Eye Care PC Optometrist CurrentSince Apr 17, 2014 Accepting new patients

Locations

303 Elm St
Big Rapids, MI 49307
Phone (231) 796-6604

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1093147076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ELM ST",
            "address_2": "P.O BOX 1178",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071813",
            "telephone_number": "231-796-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ELM ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071813",
            "telephone_number": "231-796-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZINDER",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.