Shoreline ASC, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

61-6816 Issued in MI

Legal business name

SHORELINE ASC, LLC

Practice address

1298 E Sherman Blvd
Muskegon, MI 49444-1831

Phone

(231) 737-4710

Fax

(231) 737-4711

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Pravoot Gira

Title

Authorized Official

Phone

(314) 369-3536

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Vision Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Shoreline ASC IncCCN 23C0001068

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1285687145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "231-737-4710",
            "fax_number": "231-737-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441831",
            "telephone_number": "231-737-4710",
            "fax_number": "231-737-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-369-3536"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MI",
            "license": "61-6816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Vision Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Marie Shirley
• Scott Allan Shoemake, ATC, CSCS
• Molli Sholar, DO
• Daniel Aaron Shoop, OD
• Shoreline Allergy, P.C.
• Shoreline Consultation Services
• Shoreline Counseling LLC
• Shoreline Dental Associates, P.C.
• Shoreline ENT PLC
• Shoreline Family Medicine PC

• Ophthalmologic Surgery Clinic/Center in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Ophthalmologic Surgery Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.