Active NPI
David Szczepanski PC
Doing business as Healthy Vision
- Eyewear Supplier
- Grand Rapids, MI
National Provider Identifier
1366509002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DAVID SZCZEPANSKI PC
- Doing business as
- Healthy Vision
- Practice address
- 2021 44TH St SE Ste B
Grand Rapids, MI 49508-5349 - Phone
- (616) 827-8981
- Fax
- (616) 827-2702
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David T Szczepanski, OD
- Title
- Owner, and OD
- Phone
- (616) 827-8981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2021 44TH St SE Ste B
Grand Rapids, MI 49508-5349
Mailing address
2021 44TH St SE Ste B
Grand Rapids, MI 49508-5349
Phone (616) 827-8981
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6133350001 | Other | MI | NATIONAL GOV'T SVC-PTAN |
| 0P43120 | Other | MI | GROUP NUMBER |
| P43120001 | Other | MI | MEDICARE PROVIDER NUMBER |
Other names 1
- Healthy Vision
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1366509002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 44TH ST SE STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495085349",
"telephone_number": "616-827-8981",
"fax_number": "616-827-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 44TH ST SE STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495085349",
"telephone_number": "616-827-8981",
"fax_number": "616-827-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID SZCZEPANSKI PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "SZCZEPANSKI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER, AND OD",
"authorized_official_telephone_number": "616-827-8981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL GOV'T SVC-PTAN",
"identifier": "6133350001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "0P43120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "P43120001",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthy Vision",
"code": "3",
"type": "Doing Business As"
}
]
}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 Apr 20, 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.