Active NPI
Westside Vision, LLC
- Optometrist
- Grand Rapids, MI
National Provider Identifier
1407509177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WESTSIDE VISION, LLC
- Practice address
- 833 Leonard St NW Ste B
Grand Rapids, MI 49504-4163 - Phone
- (616) 458-7978
- NPI assigned
- Feb 1, 2022
- Last updated
- Feb 1, 2022
- 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. Alyssa Koster, OD
- Title
- Optometrist/Owner
- Phone
- (517) 285-1408
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
833 Leonard St NW Ste B
Grand Rapids, MI 49504-4163
Mailing address
7785 Warner St
Allendale, MI 49401-9632
Phone (517) 285-1408
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Holland, MI
- NPI 1316202112
-
- Optometrist
- Farmington Hills, MI
- NPI 1780971101
-
- Optician
- Grand Rapids, MI
- NPI 1023719739
-
- Optometrist
- Grand Rapids, MI
- NPI 1841374386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643673600000",
"number": "1407509177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7785 WARNER ST",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494019632",
"telephone_number": "517-285-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 LEONARD ST NW STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495044163",
"telephone_number": "616-458-7978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE VISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A",
"authorized_official_last_name": "KOSTER",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "517-285-1408",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"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 Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.