NPIMap

Organization Active NPI

Zeeland Vision Services PC

  • Optometrist
  • Zeeland, MI
National Provider Identifier
1265481683
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZEELAND VISION SERVICES PC
Practice address
300 S State St
Suite #15
Zeeland, MI 49464-1678
Phone
(616) 772-9149
Fax
(616) 772-2906
NPI assigned
May 10, 2006
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Dr. Thomas Bock, ODNPI 1225065758
Title
Owner
Phone
(616) 772-9149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

300 S State St
Suite #15
Zeeland, MI 49464-1678

Mailing address

300 S State St
Suite #15
Zeeland, MI 49464-1678
Phone (616) 772-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060921000260 MI Part B Supplier - Clinic/Group Practice 4284639469 Receives reassigned benefits from 6 practitioners
Practice locations: Zeeland, MI
O20100930074939 MI DME Supplier - Physician - OptometristDME Supplier - Optician 4284639469 Practice locations: Zeeland, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Zeeland Vision Services PC300 S State St, Zeeland, MI 49464-1678(616) 772-9149 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1988

National Provider Directory

National Provider Directory

Locations

300 S State St
Ste 15
Zeeland, MI 49464
Phone (616) 772-9149

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1265481683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STATE ST",
            "address_2": "SUITE #15",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641678",
            "telephone_number": "616-772-9149",
            "fax_number": "616-772-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ST",
            "address_2": "SUITE #15",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641678",
            "telephone_number": "616-772-9149",
            "fax_number": "616-772-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEELAND VISION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-772-9149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.