Eye Center of Grand Rapids-PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301084269 Issued in MI

Legal business name

EYE CENTER OF GRAND RAPIDS-PLC

Practice address

1000 E Paris Ave SE
Suite 218
Grand Rapids, MI 49546-3691

Phone

(616) 719-3821

Fax

(616) 719-3740

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Eiyass Albeiruti, MDNPI 1952503864

Title

Member

Phone

(616) 719-3821

Specialties & licenses 1

Addresses

Other names 1

• Eye Center of Grand Rapids Doing business as

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.

• Eiyass Albeiruti, M.D.

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1952503864
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1194148247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 218",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-719-3821",
            "fax_number": "616-719-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 218",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-719-3821",
            "fax_number": "616-719-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF GRAND RAPIDS-PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "ALBEIRUTI",
        "authorized_official_first_name": "EIYASS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-719-3821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301084269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center of Grand Rapids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Center of Grand Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Exponential Health,PC
• Expressive Explorations
• Extended Care at Ramsdell
• Stephanie Exton, MS
• Eunice Y Eyamba
• Eyemart Express
• Lisa Eyres
• Amanda Leigh-Reynders Ezekiel, CNM
• Shalitha Ezell
• Frederick Ezenyilimba, MD

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.