Gladwin Optometric Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3212 Issued in MI

Legal business name

GLADWIN OPTOMETRIC CENTER INC

Practice address

202 E Cedar Ave
PO 276
Gladwin, MI 48624-2261

Phone

(989) 422-6827

Fax

(989) 426-3701

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven J TrombleyNPI 1922184852

Title

Doctor of Optometry

Phone

(989) 426-8272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J Trombley

  • Optometrist
  • Gladwin, MI
  • NPI 1922184852
  Medicare reassignment NPD Authorized official
• Chloee Kathaleen Malcolm, OD

  • Optometrist
  • Gladwin, MI
  • NPI 1548990773
  NPD
• Raymond A Lalonde, O.D.

  • Optometrist
  • Pinconning, MI
  • NPI 1326091521
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1205956596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CEDAR AVE",
            "address_2": "PO276",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242261",
            "telephone_number": "989-426-8272",
            "fax_number": "989-426-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CEDAR AVE",
            "address_2": "PO 276",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242261",
            "telephone_number": "989-422-6827",
            "fax_number": "989-426-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADWIN OPTOMETRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "TROMBLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "989-426-8272",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladwin Family Care PLLC
• Gladwin Family Care PLLC
• Gladwin Family Chiropractic PC
• Gladwin Family Pharmacy LLC
• Gladwin Family Practice
• Gladwin Pines Operating, LLC (Gladwin Pines Nursing and Rehabilitation Center)
• Gladwin Pines Operating, LLC (Gladwin Pines Nursing and Rehabilitation Center)
• Gladwin Urgent Care PC
• Daniel Goodin, MD
• Taylor Gorski

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.