Organization Active NPI

Grandville Eye Care, P.C.

  • Optometrist
  • Grandville, MI
National Provider Identifier
1295746287
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRANDVILLE EYE CARE, P.C.
Practice address
3100 Wilson Ave SW
Grandville, MI 49418-1200
Phone
(616) 534-8238
Fax
(616) 534-4189
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. James W. Burton, O.D.
Title
President
Phone
(616) 534-8238

Specialties & licenses 1

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

Addresses

Primary practice location

3100 Wilson Ave SW
Grandville, MI 49418-1200

Mailing address

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050216000910 MI Part B Supplier - Clinic/Group Practice 7012969181 Receives reassigned benefits from 3 practitioners
Practice locations: Grandville, MI
O20100930026387 MI DME Supplier - Physician - OptometristDME Supplier - Optician 7012969181 Practice locations: Grandville, 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
Grandville Eye Care, PC3100 Wilson Ave SW, Grandville, MI 49418-1200(616) 534-8238 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Jan 1, 1997

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1295746287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181200",
            "telephone_number": "616-534-8238",
            "fax_number": "616-534-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181200",
            "telephone_number": "616-534-8238",
            "fax_number": "616-534-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVILLE EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-534-8238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.