Jeffrey B Byland, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002849 Issued in MI

Practice address

103 S Division Ave
PO Box E
Fremont, MI 49412-1602

Phone

(231) 924-4110

Fax

(231) 924-5007

NPI assigned

Aug 9, 2005

Last updated

Dec 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1487655643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S DIVISION AVE",
            "address_2": "PO BOX E",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121602",
            "telephone_number": "231-924-4110",
            "fax_number": "231-924-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S DIVISION AVE",
            "address_2": "PO BOX E",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121602",
            "telephone_number": "231-924-4110",
            "fax_number": "231-924-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLAND",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2892598",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410014405",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MI",
            "identifier": "900F26506",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Joy Bruins, PA
• Lisa G Brummel, RPH
• Tianna Lynn Burns, C.O.T.A
• Stacey Butch, PHARMD
• Koby J Buth, MD
• C & C Optical Shop Inc.
• Michael Peter Campeau, DDS
• John William Carlson Jr., RPH
• Chad Carpenter
• Brooke Ashton Castillo, OD

• Optometrist in Fremont, MI
• Providers in Fremont, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.