Organization Active NPI

Daniel a Arsulowicz O.D.

  • Eyewear Supplier
  • Grand Rapids, MI
National Provider Identifier
1104095165
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4901002358 Issued in MI
Legal business name
DANIEL A ARSULOWICZ O.D.
Practice address
3935 Lake Michigan Dr NW
Grand Rapids, MI 49534-7844
Phone
(616) 453-8223
Fax
(616) 453-6262
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Daniel A. Arsulowicz, O.D.
Title
Optometrist
Phone
(616) 453-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4901002358 MI Primary

Addresses

Primary practice location

3935 Lake Michigan Dr NW
Grand Rapids, MI 49534-7844

Mailing address

3935 Lake Michigan Dr NW
Grand Rapids, MI 49534-7844
Phone (616) 453-8223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1104095165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347844",
            "telephone_number": "616-453-8223",
            "fax_number": "616-453-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347844",
            "telephone_number": "616-453-8223",
            "fax_number": "616-453-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A ARSULOWICZ O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ARSULOWICZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "616-453-8223",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002358",
            "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 Jun 18, 2008; 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.