Individual provider Active NPI

Michael Ruthven, DO

  • Optometrist
  • Hartland, MI
National Provider Identifier
1174971998
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004965 Issued in MI
Practice address
11200 Highland Rd
Hartland, MI 48353-2704
Phone
(810) 632-5240
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004965 MI Primary

Addresses

Primary practice location

11200 Highland Rd
Hartland, MI 48353-2704

Mailing address

11200 Highland Rd
Hartland, MI 48353-2704
Phone (810) 632-5240

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615001034 MI Practitioner - Optometry 9234420654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ave Maria EyecareGroup PAC ID 8527533371, 2 clinicians
Thomas R Doud OD PCGroup PAC ID 9537232848, 2 clinicians

Practice addresses (Care Compare)

11200 Highland Rd
Hartland, MI 48353-2704
Phone (810) 632-5240

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ave Maria Eyecare Optometrist CurrentSince May 1, 2026 Accepting new patients
Pcor, LLC Optometrist CurrentSince May 11, 2016 Accepting new patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Pcor LLC Optometrist CurrentSince May 11, 2016 Accepting new patients
Blue Sky Vision Eye Care, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

11200 Highland Rd
Hartland, MI 48353
Phone (810) 632-5240

29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

5477 W Clark Rd
Ypsilanti, MI 48197
Phone (734) 434-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1174971998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532704",
            "telephone_number": "810-632-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532704",
            "telephone_number": "810-632-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHVEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

Verify at the official NPI Registry.