Organization Active NPI

Muskegon Cooperative, Inc

Doing business as Co-Optical Service

  • Eyewear Supplier
  • Muskegon, MI
National Provider Identifier
1336250026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MUSKEGON COOPERATIVE, INC
Doing business as
Co-Optical Service
Practice address
499 W Norton Ave
Muskegon, MI 49444-3727
Phone
(231) 733-2685
Fax
(231) 737-1236
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Kay Pressler
Title
General Manager
Phone
(231) 733-2685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

499 W Norton Ave
Muskegon, MI 49444-3727

Mailing address

499 W Norton Ave
Muskegon, MI 49444-3727
Phone (231) 733-2685

Other identifiers 1

IdentifierTypeStateIssuer
900F17620OtherMIBC/BS OF MICHIGAN

Other names 1

  • Co-Optical Service Doing business as

National Provider Directory

National Provider Directory

Locations

499 W Norton Ave
Norton Shores, MI 49444
Phone (231) 733-2685

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336250026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 W NORTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443727",
            "telephone_number": "231-733-2685",
            "fax_number": "231-737-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 W NORTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443727",
            "telephone_number": "231-733-2685",
            "fax_number": "231-737-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGON COOPERATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESSLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "231-733-2685"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MICHIGAN",
            "identifier": "900F17620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Co-Optical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.