Individual provider Active NPI

Christopher Joseph Stock, M.D.

  • Ophthalmology Physician
  • Grandville, MI
National Provider Identifier
1144233347
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
CS065698 Issued in MI
Practice address
4070 Chicago Dr SW
Grandville, MI 49418-1258
Phone
(616) 988-8787
Fax
(616) 988-4786
NPI assigned
Aug 15, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CS065698 MI Primary

Addresses

Primary practice location

4070 Chicago Dr SW
Grandville, MI 49418-1258

Mailing address

4070 Chicago Dr SW
Grandville, MI 49418-1258
Phone (616) 988-8787

Other identifiers 4

IdentifierTypeStateIssuer
104531620MedicaidMI
104749142MedicaidMI
200033734OtherMITAX ID
1804112891OtherMIBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000208 MI Practitioner - Ophthalmology 2365404845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correspondence PCGroup PAC ID 8527545979, 2 clinicians

Practice addresses (Care Compare)

1450 Farr Rd
Suite 2000
Norton Shores, MI 49444-8797
Phone (231) 737-9378

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CS065698MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Ophthalmology PLC Ophthalmology CurrentSince Jun 6, 2003 Accepting new patients
Advanced Vision Care, P.C. Ophthalmology PastSince Apr 1, 2005 Accepting new patients

Locations

4070 Chicago Dr SW
Grandville, MI 49418
Phone (616) 531-3336

4120 Chicago Dr SW
Grandville, MI 49418
Phone (616) 531-3336

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1144233347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 CHICAGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181258",
            "telephone_number": "616-988-8787",
            "fax_number": "616-988-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 CHICAGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181258",
            "telephone_number": "616-988-8787",
            "fax_number": "616-988-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "CS065698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104531620",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104749142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200033734",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "1804112891",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.