Organization Active NPI

Spring Lake Eye Care LLC

  • Optometrist
  • Spring Lake, MI
National Provider Identifier
1235009382
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SPRING LAKE EYE CARE LLC
Doing business as
Eye Vision
Practice address
110 S Lake Ave Ste a
Spring Lake, MI 49456-2275
Phone
(616) 846-5220
Fax
(616) 846-7728
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Dr. Michelle Burkhardt Bullion, ODNPI 1871676304
Title
Owner
Phone
(231) 750-0842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

110 S Lake Ave Ste a
Spring Lake, MI 49456-2275

Mailing address

1179 Whitehall Rd Ste B
Muskegon, MI 49445-2497
Phone (231) 750-0842

Other names 1

  • Eye Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506003672 MI Part B Supplier - Clinic/Group Practice 4880162957 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Lake, MI

National Provider Directory

National Provider Directory

Locations

110 S Lake Ave
Ste A
Spring Lake, MI 49456
Phone (616) 846-5220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1235009382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 WHITEHALL RD STE B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452497",
            "telephone_number": "231-750-0842",
            "fax_number": "231-719-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S LAKE AVE STE A",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562275",
            "telephone_number": "616-846-5220",
            "fax_number": "616-846-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "BURKHARDT BULLION",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-750-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.