Calvin Daniel Ebels, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003759 Issued in MI

Practice address

Sears Optical
3622 Rivertown Pkwy
Grandville, MI 49418

Phone

(616) 257-0049

Fax

(616) 257-0054

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Grandville Eye Care PCGroup PAC ID 7012969181, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Grandville Eye Care, P.C.

  • Optometrist
  • Grandville, MI
  • NPI 1295746287
  Medicare reassignment Care Compare group NPD
• Dennis & David Company

  • Optometrist
  • Bingham Farms, MI
  • NPI 1730153982
  Medicare reassignment NPD
• Glaucoma Eye Center PC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1891855714
  NPD (past)
• Luxottica Retail North America Inc

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306063532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 PULTE DR",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "49435",
            "telephone_number": "616-677-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEARS OPTICAL",
            "address_2": "3622 RIVERTOWN PKWY",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-257-0049",
            "fax_number": "616-257-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELS",
        "first_name": "CALVIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly R Duiven, PA C
• Ashley Dunlap, B.S.
• Dykstra Chiropractic PC
• Abraham Eapen
• Sherah Janette Eavey, OD
• Theresa Eddie, MA, CCC-SLP
• Emory Stewart Eddy, LLPC
• Reegan Elles Edema, OTR/L
• Evonne M Edwards, LLP
• Skylar Brielle Edwards I

• Optometrist in Grandville, MI
• Providers in Grandville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.