Cedar Run Eye Center Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CEDAR RUN EYE CENTER OPTICAL

Practice address

3830 W Front St
Traverse City, MI 49684-8153

Phone

(231) 929-3888

Fax

(231) 929-4365

NPI assigned

Apr 30, 2007

Last updated

Nov 30, 2009By 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

Jennifer Grochowalski

Title

Administration

Phone

(231) 929-3888

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1215157367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2335",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496852335",
            "telephone_number": "231-929-3888",
            "fax_number": "231-929-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848153",
            "telephone_number": "231-929-3888",
            "fax_number": "231-929-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RUN EYE CENTER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "GROCHOWALSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "231-929-3888"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis K Catino, DDS
• Ashleigh Kay Catton, FNP
• Anne M Cavanagh, M.D.
• Amanda Cavanaugh
• Cedar Run Eye Center
• Cedar Run Eye Center-Beulah Optical
• Cedar Run Eye Center, PLLC
• Rowan Celestino
• Celly Health Medical Group of Northern Michigan PC
• Celly Mobile Dialysis, P.a.

• Eyewear Supplier in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.