Individual provider Active NPI

Alyssa Uganski Westrate, OD

  • Optometrist
  • Grand Haven, MI
National Provider Identifier
1467005595
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005376 Issued in MI
Practice address
14700 US Highway 31
Grand Haven, MI 49417-8390
Phone
(616) 844-5011
Fax
(616) 844-5024
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005376 MI Primary

Addresses

Primary practice location

14700 US Highway 31
Grand Haven, MI 49417-8390

Mailing address

14700 US Highway 31
Grand Haven, MI 49417-8390
Phone (616) 844-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820002014 MI Practitioner - Optometry 2062740715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients

Locations

1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424

590 E 16th St
#20
Holland, MI 49423
Phone (616) 928-9640

1148 Washington Ave
Holland, MI 49423
Phone (616) 396-8814

12659 Riley St
Holland, MI 49424
Phone (616) 377-1440

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

381 Baldwin St
Jenison, MI 49428
Phone (616) 457-4443

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

1281 M 89
Plainwell, MI 49080
Phone (269) 684-1071

507 E Division St
Rockford, MI 49341
Phone (616) 866-3933

1717 28th St SW
Wyoming, MI 49519
Phone (616) 531-4370

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1467005595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 US HIGHWAY 31",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178390",
            "telephone_number": "616-844-5011",
            "fax_number": "616-844-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 US HIGHWAY 31",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178390",
            "telephone_number": "616-844-5011",
            "fax_number": "616-844-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRATE",
        "first_name": "ALYSSA",
        "middle_name": "UGANSKI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.