Active NPI
Lindsay Marie-Basler Weatherhead, O.D.
- Optometrist
- Grand Rapids, MI
National Provider Identifier
1346573987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004516
- Practice address
- 750 E Beltline Ave NE
Grand Rapids, MI 49525-6049 - Phone
- (616) 949-2600
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OFC40 | FL | |
| Optometrist | 152W00000X | 4901004516 | MI | Primary |
Addresses
Primary practice location
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Mailing address
1311 Marshwood CT SW
Apt. 3a
Byron Center, MI 49315-9008
Phone (616) 291-3854
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 949-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.03 of 100
- Quality
- 85.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- lindsay.baslerweatherhead.p1@direct.grophthalmology.nextgenshare.com
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1346573987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MARSHWOOD CT SW",
"address_2": "APT. 3A",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159008",
"telephone_number": "616-291-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256049",
"telephone_number": "616-949-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERHEAD",
"first_name": "LINDSAY",
"middle_name": "MARIE-BASLER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OFC40",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.