NPIMap

Organization Active NPI

Eye Care West, P.C.

  • Optometrist
  • Sturgis, MI
National Provider Identifier
1508059627
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002336 Issued in MI
Legal business name
EYE CARE WEST, P.C.
Practice address
26289 W Chicago Rd
Sturgis, MI 49091-8706
Phone
(269) 651-7874
Fax
(269) 651-4154
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Dr. Darren L Meyer, O.D.NPI 1821099367
Title
President/Owner
Phone
(269) 651-7874

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002336 MI Primary

Addresses

Primary practice location

26289 W Chicago Rd
Sturgis, MI 49091-8706

Mailing address

26289 W Chicago Rd
P O Box 128
Sturgis, MI 49091-8706
Phone (269) 651-7874

Other identifiers 1

IdentifierTypeStateIssuer
900G510330OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000674 MI Part B Supplier - Clinic/Group Practice 5092700393 Receives reassigned benefits from 2 practitioners
Practice locations: Sturgis, MI

National Provider Directory

National Provider Directory

Locations

26289 US Highway 12
Sturgis, MI 49091
Phone (269) 651-7874

Practitioners & affiliated clinicians

Practitioners 5

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1508059627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26289 W CHICAGO RD",
            "address_2": "P O BOX 128",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918706",
            "telephone_number": "269-651-7874",
            "fax_number": "269-651-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26289 W CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918706",
            "telephone_number": "269-651-7874",
            "fax_number": "269-651-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE WEST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "269-651-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900G510330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.