Organization Active NPI

I Care Optics LLC

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1093198483
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
I CARE OPTICS LLC
Practice address
2425 Lake Michigan Dr NW
Grand Rapids, MI 49504-4652
Phone
(616) 406-8585
Fax
(616) 735-4868
NPI assigned
Jul 2, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Shanda Laine Stolk
Title
Owner
Phone
(616) 406-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2425 Lake Michigan Dr NW
Grand Rapids, MI 49504-4652

Mailing address

2425 Lake Michigan Dr NW
Grand Rapids, MI 49504-4652
Phone (616) 406-8585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1093198483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044652",
            "telephone_number": "616-406-8585",
            "fax_number": "616-735-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044652",
            "telephone_number": "616-406-8585",
            "fax_number": "616-735-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "STOLK",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "LAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-406-8585"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.