HCL of West Michigan LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003806 Issued in MI

Legal business name

HCL OF WEST MICHIGAN LLC

Practice address

1871 Holton Rd
Muskegon, MI 49445-1594

Phone

(231) 719-9200

Fax

(231) 719-6782

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Heather M Burgess-Peterson, ODNPI 1720071798

Title

Insurance Manager

Phone

(231) 719-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Care One Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Marie Burgess-Peterson, O.D.

  • Optometrist
  • Muskegon, MI
  • NPI 1720071798
  NPD (past) Authorized official
• Rebecca A Jacquemin, OD

  • Optometrist
  • Holland, MI
  • NPI 1366508822
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1417065616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 HOLTON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451594",
            "telephone_number": "231-719-9200",
            "fax_number": "231-744-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 HOLTON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451594",
            "telephone_number": "231-719-9200",
            "fax_number": "231-719-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCL OF WEST MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "BURGESS-PETERSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "231-719-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900F111560",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiara Hatcher
• Paulett Hathorn, HHA
• Michael Hautamaki, D.C.
• Michelle Hawke, RN
• Kristy Marie Hayford, RN
• Healing Harmony, PLLC
• Healing Streams Counseling and Consultation Services
• Health West
• Healthwest
• Healthwest Autism Program

• All providers in Muskegon, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.