Organization Active NPI

Still Waters Vision Rehabilitation PLLC

  • Optometrist
  • Muskegon, MI
National Provider Identifier
1104735562
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Sep 2, 2026

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.