Individual provider Active NPI

Eric James, OD

  • Optometrist
  • Walker, MI
National Provider Identifier
1235692468
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005373 Issued in MI
Practice address
3303 Alpine Ave NW Ste a
Walker, MI 49544-1605
Phone
(616) 649-4703
Fax
(616) 784-2634
NPI assigned
Apr 14, 2019
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005373 MI Primary

Addresses

Primary practice location

3303 Alpine Ave NW Ste a
Walker, MI 49544-1605

Mailing address

3303 Alpine Ave NW Ste a
Walker, MI 49544-1605
Phone (616) 649-4703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000775 MI Practitioner - Optometry 2567798473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Grandville Eye Care PCGroup PAC ID 7012969181, 3 clinicians

Practice addresses (Care Compare)

3100 Wilson Ave SW
Suite 2
Grandville, MI 49418-1200
Phone (616) 534-8238

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grandville Eye Care, P.C. Optometrist CurrentSince Dec 2, 2024 Accepting new patients
Vollink Eyecare PLLC Optometrist CurrentSince Nov 6, 2019 Accepting new patients
National Vision Inc Optometrist CurrentSince Feb 8, 2023 Accepting new patients

Locations

4 Washington Ave
Grand Haven, MI 49417
Phone (616) 240-4224

3100 Wilson Ave SW
Ste 2
Grandville, MI 49418
Phone (616) 534-8238

3164 Port Sheldon St
Hudsonville, MI 49426
Phone (616) 538-0150

3303 Alpine Ave NW
Ste A
Walker, MI 49544
Phone (616) 649-4703

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1235692468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 ALPINE AVE NW STE A",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495441605",
            "telephone_number": "616-649-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ALPINE AVE NW STE A",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495441605",
            "telephone_number": "616-649-4703",
            "fax_number": "616-784-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

Verify at the official NPI Registry.