Active NPI
Michael Ruthven, DO
- Optometrist
- Hartland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ave Maria Eyecare | Optometrist | Current | Accepting new patients |
| Pcor, LLC | Optometrist | Current | Accepting new patients |
| Blue Sky Vision Eye Care, P.C | Optometrist | Current | Accepting new patients |
| Pcor LLC | Optometrist | Current | Accepting new patients |
| Blue Sky Vision Eye Care, PC | Current | 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
- 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.
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- NPI 1801122460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.