Kent Vision Centers Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KENT VISION CENTERS INC

Doing business as

Smeelink Optical

Practice address

4022 Plainfield Ave NE
Grand Rapids, MI 49525-1608

Phone

(616) 363-1868

Fax

(616) 363-2246

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Timothy D Westra

Title

President

Phone

(616) 846-0620

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smeelink Optical Doing business as

Practitioners 1

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

• Bruce L Bullion, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1003814492
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1336224682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562024",
            "telephone_number": "616-846-0620",
            "fax_number": "616-844-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251608",
            "telephone_number": "616-363-1868",
            "fax_number": "616-363-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-846-0620"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "900F111210",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "(94) 4634073",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smeelink Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Pathology Laboratory PLLC
• Kent Podiatry
• Kent R Wildern DDS PC
• Kent Radiology PC
• Kent Residential Centers, Inc
• Kent Vision Centers Inc
• Kent Vision Centers Inc
• Lindsey Josephine Kent, AGACNP-BC
• Meredith Kent, PA
• Pilar Lynn-Ann Kent

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.