Individual provider Active NPI

Andrew Paul Bringard, OD

  • Optometrist
  • Walker, MI
National Provider Identifier
1316599707
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005355 Issued in MI
Practice address
4482 Lake Michigan Dr NW
Walker, MI 49534-6304
Phone
(616) 791-6944
Fax
(616) 791-7298
NPI assigned
Jul 15, 2019
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005355 MI Primary

Addresses

Primary practice location

4482 Lake Michigan Dr NW
Walker, MI 49534-6304

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

2159 E Apple Ave
Muskegon, MI 49442-4366
Phone (231) 767-1600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190729001749 MI Practitioner - Optometry 0345576393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2159 E Apple Ave
Muskegon, MI 49442-4366
Phone (231) 767-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist PastSince Mar 21, 2021 Accepting new patients

Locations

4555 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-8490

12659 Riley St
Holland, MI 49424
Phone (616) 377-1440

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

1720 E Sternberg Rd
Muskegon, MI 49444
Phone (231) 563-6878

2159 E Apple Ave
Muskegon, MI 49442
Phone (231) 767-1600

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

3445 Henry St
Ste 100
Norton Shores, MI 49441
Phone (231) 220-0223

2008 Washington Ave
Saint Joseph, MI 49085
Phone (269) 983-1303

3576 Alpine Ave NW
Walker, MI 49544
Phone (616) 784-4999

4482 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 791-6944

4482 Lake Michigan Dr NW
Ste A
Walker, MI 49534
Phone (616) 791-6944

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1316599707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 LAKE MICHIGAN DR NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495346304",
            "telephone_number": "616-791-6944",
            "fax_number": "616-791-7298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2159 E Apple Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494424366",
            "country_code": "US",
            "telephone_number": "231-767-1600",
            "fax_number": "231-777-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINGARD",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

Verify at the official NPI Registry.