Shoreline Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SHORELINE OPTICAL, LLC

Practice address

3375 McCracken St
Norton Shores, MI 49441-3670

Phone

(231) 739-9009

Fax

(231) 733-0566

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Andrea Lynn Patrick

Title

Account Manager

Phone

(616) 588-6593

Specialties & licenses 2

Addresses

Other names 1

• Shoreline Optical Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shoreline Ophthalmology, PLLC

  • Ophthalmology Physician
  • Grand Haven, MI
  • NPI 1790841658

  Member Of

  NPD member

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1356586895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MCCRACKEN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494413670",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "616-588-6593"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shoreline Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shoreline Chiropractic PLC
• Shoreline Dental PLLC
• Shoreline ENT of West Michigan PC
• Shoreline Foot & Ankle Associates P.C.
• Shoreline Ophthalmology, PLLC
• Amber Lynn Shull, PA
• Erin Siebert
• Benjamin James Sikkenga, OD
• Payton Elizabeth Elizabeth Silk
• Daniel P Sischo

• Eyewear Supplier in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.