Active NPI
Lindsay Buurma, OD
- Optometrist
- Holland, MI
National Provider Identifier
1477265478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005654
- Practice address
- 2279 N Park Dr Ste 910
Holland, MI 49424-8527 - Phone
- (616) 510-2243
- Fax
- (616) 510-2244
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005654 | MI | Primary |
Addresses
Primary practice location
2279 N Park Dr Ste 910
Holland, MI 49424-8527
Mailing address
2585 Knightsbridge Rd SE
Grand Rapids, MI 49546-6754
Phone (616) 644-3511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005654 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1477265478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 KNIGHTSBRIDGE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466754",
"telephone_number": "616-644-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 N PARK DR STE 910",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248527",
"telephone_number": "616-510-2243",
"fax_number": "616-510-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUURMA",
"first_name": "LINDSAY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.