Traverse City Eye Consultants P C

Key facts

NPI: 1316009368
Entity type: Organization (NPI type 2)
Primary specialty: Ophthalmology Physician 207W00000X
Legal business name: TRAVERSE CITY EYE CONSULTANTS P C
Practice address: 5199 N Royal Dr
Traverse City, MI 49684-9201
Phone: (231) 935-8101
Fax: (231) 935-0955
NPI assigned: Dec 15, 2006
Organization subpart: No

Authorized official

Name: Kenneth B Gum, M.D.
Title: Doctor
Phone: (231) 935-8101

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Traverse City Eye Consultants P C Ophthalmology Physician · Kalkaska, MI · NPI 1861554636

NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Robert Allan Beaulieu, MD Ophthalmology Physician · Royal Oak, MI · NPI 1750700746

NPD OPHTHALMOLOGY
Claire Burrill, OD Optometrist · Traverse City, MI · NPI 1457174740

NPD OPTOMETRIST
Shannon Korson, NP Nurse Practitioner · Suttons Bay, MI · NPI 1437816006

NPD
Kathleen Marie Leahy, OD Optometrist · Kalkaska, MI · NPI 1104483437

NPD OPTOMETRIST
Richard Thomas Melstrom, OD Optometrist · Cadillac, MI · NPI 1679559322

NPD OPTOMETRIST

National Provider Directory

Locations

5199 N Royal Dr
Traverse City, MI 49684
Phone (231) 486-0230

Interoperability endpoints

Direct secure messaging: rfoote@tce.intellechartdirect.net
Direct secure messaging: skorson@tce.intellechartdirect.net
Direct secure messaging: rmelstrom@tce.intellechartdirect.net
Direct secure messaging: rbeaulieu@tce.intellechartdirect.net
Direct secure messaging: cburrill@tce.intellechartdirect.net
Direct secure messaging: katleahy@tce.intellechartdirect.net

Specialties & licenses

Specialty (taxonomy)	Code	State	Primary
Optometrist Group: 193200000X MULTI-SPECIALTY GROUP	152W00000X
Ophthalmology Physician Group: 193200000X MULTI-SPECIALTY GROUP	207W00000X		Yes
Eyewear Supplier	332H00000X	MI

Addresses

Primary practice location

5199 N Royal Dr
Traverse City, MI 49684-9201

Mailing address

5199 N Royal Dr
Traverse City, MI 49684-9201
Phone (231) 935-8101

Other providers in Traverse City, MI

All providers in Traverse City, MI · Ophthalmology Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.