Personaleyes Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002771 Issued in MI

Legal business name

PERSONALEYES VISION CARE LLC

Practice address

2860 E Beltline Ave NE
Grand Rapids, MI 49525-9704

Phone

(616) 364-8484

Fax

(616) 364-9686

NPI assigned

Oct 9, 2006

Last updated

Nov 30, 2021By 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

Aaron David Stewart, ODNPI 1134434798

Title

Shareholder

Phone

(616) 364-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James R Spears OD LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Aaron David Stewart, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1134434798
  Medicare reassignment Care Compare group Authorized official
• Ashley Eve Kamann, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1033340401
  Medicare reassignment Care Compare group
• Carrie Dewolfe, O.D.

  • Optometrist
  • Caledonia, MI
  • NPI 1184283285
  Medicare reassignment
• James A Ness, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1831230150
  NPD (past)
• Christina Marie Mummert, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1821086380
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1215024450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259704",
            "telephone_number": "616-364-8484",
            "fax_number": "616-364-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259704",
            "telephone_number": "616-364-8484",
            "fax_number": "616-364-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALEYES VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "616-364-8484",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-5089046",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James R Spears OD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "James R Spears OD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Perry, DO
• Steven Perry, DO
• Veronica Rodriguez Persenaire
• Keisha Treyal Person
• Personal Courage
• Stephanie Pertchi
• Liliet Pertierra, DO
• Sakari Antero Perttula, PT
• Kelly Ann Perutelli, LLMSW
• Ghazia Pervaiz, M.D

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.