Active NPI
Still Waters Vision Rehabilitation PLLC
- Optometrist
- Muskegon, MI
National Provider Identifier
1104735562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- STILL WATERS VISION REHABILITATION PLLC
- Practice address
- 4755 Airline Rd
Muskegon, MI 49444-4556 - Phone
- (231) 216-0123
- Fax
- (231) 227-8811
- NPI assigned
- Sep 2, 2026
- 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
- Dr. Leah Jipping, OD
- Title
- Member
- Phone
- (231) 557-7567
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Pediatric Optometrist | 152WP0200X |
Addresses
Primary practice location
4755 Airline Rd
Muskegon, MI 49444-4556
Mailing address
4755 Airline Rd
Muskegon, MI 49444-4556
Phone (231) 216-0123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1104735562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 AIRLINE RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494444556",
"telephone_number": "231-216-0123",
"fax_number": "231-227-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 AIRLINE RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494444556",
"telephone_number": "231-216-0123",
"fax_number": "231-227-8811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL WATERS VISION REHABILITATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "JIPPING",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "231-557-7567",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.