Active NPI
Daniel a Arsulowicz O.D.
- Eyewear Supplier
- Grand Rapids, MI
National Provider Identifier
1104095165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4901002358
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.