Organization Active NPI

Foster Family Holdings

  • Optician
  • Grand Rapids, MI
National Provider Identifier
1437857034
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FOSTER FAMILY HOLDINGS
Doing business as
Westside Optical
Practice address
833 Leonard St NW Ste B
Grand Rapids, MI 49504-4163
Phone
(616) 458-7978
Fax
(616) 458-3719
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Naquetta Foster, ABOCNPI 1023719739
Title
Owner
Phone
(616) 458-7978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

833 Leonard St NW Ste B
Grand Rapids, MI 49504-4163

Mailing address

833 Leonard St NW Ste B
Grand Rapids, MI 49504-4163
Phone (616) 458-7978

Other names 1

  • Westside Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510001442 MI Part B Supplier - Clinic/Group Practice 7911348719 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1437857034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LEONARD ST NW STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044163",
            "telephone_number": "616-458-7978",
            "fax_number": "616-458-3719"
        },
        {
            "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",
            "fax_number": "616-458-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER FAMILY HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "NAQUETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-458-7978",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Optical",
            "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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.