Sparta Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003629 Issued in MI

Legal business name

SPARTA OPTOMETRY PC

Practice address

38 N Union St
Sparta, MI 49345-1138

Phone

(616) 887-8811

Fax

(616) 887-8789

NPI assigned

Nov 19, 2007

Last updated

May 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Ryan Harkema, O.D.NPI 1457310203

Title

Optometrist

Phone

(616) 887-8811

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ryan Harkema, O.D.

  • Optometrist
  • Sparta, MI
  • NPI 1457310203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1164603148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 N UNION ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451138",
            "telephone_number": "616-887-8811",
            "fax_number": "616-887-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N UNION ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451138",
            "telephone_number": "616-887-8811",
            "fax_number": "616-887-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "HARKEMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "616-887-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047869",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5565450001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Spectrum Health Medical Group)
• Laura K Steele, MD

• Optometrist in Sparta, MI
• Providers in Sparta, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.